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DR. GAUTTAM N. PATEL M.D.
NPI 1508056128
General Practice in Corona, CA

Active since July 30, 2007PECOS Enrolled
7867 HAZELNUT DR, CORONA, CA 92880(951) 817-3007 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2017, Sep 28, 2015 (2 updates tracked since 2015).

About Dr. Gauttam N. Patel M.d. NPPES

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

DR. GAUTTAM N. PATEL M.D. (NPI 1508056128) is an individual general practice provider in Corona, California, licensed in California (A84802) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508056128
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. GAUTTAM N. PATELCredential: M.D.
Location Address7867 HAZELNUT DRCorona, CA 92880-3505
Mailing Address7867 Hazelnut DrCorona, CA 92880-3505 · (951) 818-7202
Phone(951) 817-3007
Sole ProprietorYes
Enumeration DateJuly 30, 2007
Last NPPES UpdateJanuary 3, 20172 updates tracked since enumeration
✔ NPI 1508056128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A84802
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X · License A84802 (CA)
7867 HAZELNUT DR, Corona, CA 92880
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gauttam N. Patel M.d. 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.

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 Gauttam Patel's NPI number?

The NPI number for Gauttam Patel is 1508056128. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Gauttam Patel located?

Gauttam Patel practices at 7867 Hazelnut Dr, Corona, CA 92880. The listed phone number is (951) 817-3007.

What is Gauttam Patel's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Gauttam Patel enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Gauttam Patel was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.