RAJ PATEL
NPI 1508396409
Student in an Organized Health Care Education/Training Program in Crockett, CA
About Raj Patel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAJ PATEL (NPI 1508396409) is an individual student in an organized health care education/training program in Crockett, California, licensed in California (102841) and active in the NPI registry since June 2017. He has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Berkeley.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Raj Patel has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Raj Patel's NPI number?
The NPI number for Raj Patel is 1508396409. It was assigned to this individual provider in the NPPES registry on June 14, 2017.
Where is Raj Patel located?
Raj Patel practices at 1099 Pomona St, Crockett, CA 94525. The listed phone number is (510) 787-1081.
What is Raj Patel's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Raj Patel enrolled in Medicare?
No. Raj Patel has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Raj Patel was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Raj Patel · NPI 1508396409
Student in an Organized Health Care Education/Training Program provider in Crockett, California. Individual provider, active in the CMS NPPES registry since June 14, 2017.
## Identity
- **NPI:** 1508396409 (Entity type: Individual)
- **Enumerated:** June 14, 2017
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 102841 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1099 POMONA ST, Crockett, CA 94525-1427
- **Phone:** (510) 787-1081
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1508396409) · Data from the CMS NPPES public registry.