SHOAIB C. PATAIL MD
NPI 1801963749
Pediatrics - Neonatal-Perinatal Medicine in Fontana, CA

Q: What is Shoaib Patail's NPI number?

The NPI number for Shoaib Patail is 1801963749. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Shoaib Patail's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Shoaib Patail was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 29, 2006PECOS Enrolled

9961 SIERRA AVE, FONTANA, CA 92335(909) 427-3910 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Shoaib C. Patail Md NPPES

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

SHOAIB C. PATAIL MD (NPI 1801963749) is an individual neonatal-perinatal medicine provider in Fontana, California, licensed in California (A49190) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801963749

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameSHOAIB C. PATAILCredential: MD

Location Address9961 SIERRA AVEFontana, CA 92335-6720

Mailing Address9961 Sierra AveFontana, CA 92335-6720 · (909) 427-3910

Phone(909) 427-3910

Sole ProprietorNo

Enumeration DateNovember 29, 2006

Last NPPES UpdateNovember 30, 2021

✔ NPI 1801963749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in CA · A49190

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

9961 SIERRA AVE, Fontana, CA 92335

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shoaib C. Patail Md 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 Shoaib Patail reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

Same address

Health Maintenance Organization

9961 SIERRA AVE
Fontana, CA 92335

Reassigned Medicare billing, California enrollment
5,228 clinicians in this Medicare group

NPI 1689606196 (909) 427-3910

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 20

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

SHEILA ANN VANALLEN PT

Physical Therapist

9961 SIERRA AVE, BUILDING 3A
FONTANA, CA 92335

San Bernardino County (909) 427-7727

MR. JAMES DAVID KILLEEN III M.D.

Pediatrics

9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA, CA 92335

San Bernardino County (909) 427-6960

MR. DHIRESH N PATEL RPH

Pharmacist