DR. PAYAL JAYENDRA PATEL D.D.S.
NPI 1306170196
Dentist - General Practice in San Fernando, CA

Active since September 25, 2009PECOS Enrolled
1172 N MACLAY AVE, SAN FERNANDO, CA 91340(818) 898-1388 Get Directions Write a Review

NPPES record last updated: November 6, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Payal Jayendra Patel D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAYAL JAYENDRA PATEL D.D.S. (NPI 1306170196) is an individual general practice provider in San Fernando, California, licensed in California (58933) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306170196
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PAYAL JAYENDRA PATELCredential: D.D.S.
Location Address1172 N MACLAY AVESan Fernando, CA 91340-1328
Mailing Address1600 San Fernando RdSan Fernando, CA 91340-3115 · (818) 365-8086
Sole ProprietorNo
Enumeration DateSeptember 25, 2009
Last NPPES UpdateNovember 6, 2015
✔ NPI 1306170196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CA · 58933✔ Licensed in TX · 24861
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1172 N MACLAY AVE, San Fernando, CA 91340

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Payal Jayendra Patel D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Payal Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1172 N. MACLAY AVE.
San Fernando, CA 91340
  • Reassigned Medicare billing, California enrollment
  • 218 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91340 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Registered Nurse
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Clinic/Center (Federally Qualified Health Center (FQHC))
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Family Medicine
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Marriage & Family Therapist
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Family Medicine
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Pediatrics
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Obstetrics & Gynecology
1172 N MACLAY AVE
SAN FERNANDO, CA 91340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Payal Patel's NPI number?

The NPI number for Payal Patel is 1306170196. It was assigned to this individual provider in the NPPES registry on September 25, 2009.

Where is Payal Patel located?

Payal Patel practices at 1172 N Maclay Ave, San Fernando, CA 91340. The listed phone number is (818) 898-1388.

What is Payal Patel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Payal Patel enrolled in Medicare?

Yes. Payal Patel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Payal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Payal Patel reassigns Medicare benefits to Northeast Valley Health Corporation (San Fernando, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Payal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Payal Patel accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Paramount and 1 other insurer list Payal Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Payal Patel was last updated on November 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.