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ANJALI PATEL OD
NPI 1649960865
Student in an Organized Health Care Education/Training Program in Healdsburg, CA

Active since May 10, 2023PECOS Enrolled
640 HEALDSBURG AVE, HEALDSBURG, CA 95448(707) 955-1120(707) 955-1135 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2024, May 10, 2023 (2 updates tracked since 2023).

About Anjali Patel Od NPPES

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

ANJALI PATEL OD (NPI 1649960865) is an individual student in an organized health care education/training program in Healdsburg, California and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Rosa.

NPPES Registry Identity

NPI1649960865
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANJALI PATELCredential: OD
Location Address640 HEALDSBURG AVEHealdsburg, CA 95448-3609
Mailing Address4089 Redondo DrEl Dorado Hills, CA 95762-7554
Phone(707) 955-1120
Fax(707) 955-1135
Sole ProprietorNo
Enumeration DateMay 10, 2023
Last NPPES UpdateFebruary 7, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1649960865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedOptometristTaxonomy 152W00000X · License OPT35482TLG (CA)
640 HEALDSBURG AVE, Healdsburg, CA 95448
Open in Google Maps ↗

Secondary Practice Location 1

Location 13925 Old Redwood HwySanta Rosa, CA 95403-1719 · Phone (707) 566-6060

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anjali Patel Od 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 Anjali Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
48 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000

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

Other Providers at the Same Location NPPES 3

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

BARTH VISION APC
Ophthalmology
640 HEALDSBURG AVE
HEALDSBURG, CA 95448
Sonoma County (707) 955-1120
ANTHONY SORIA OD INC
Optometrist
640 HEALDSBURG AVE
HEALDSBURG, CA 95448
Sonoma County (707) 433-5020
GARY P BARTH M.D.
Ophthalmology
640 HEALDSBURG AVE
HEALDSBURG, CA 95448
Sonoma County (707) 955-1120

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 Anjali Patel's NPI number?

The NPI number for Anjali Patel is 1649960865. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Anjali Patel located?

Anjali Patel practices at 640 Healdsburg Ave, Healdsburg, CA 95448. The listed phone number is (707) 955-1120.

What is Anjali 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 Anjali Patel enrolled in Medicare?

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

Which organization bills Medicare for Anjali Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anjali Patel reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Anjali Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anjali Patel was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.