Healthcare Provider Details

I. General information

NPI: 1518527878
Provider Name (Legal Business Name): RISHI ALPESH PATEL DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2019
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 NEWBURY RD STE 250
NEWBURY PARK CA
91320-6444
US

IV. Provider business mailing address

1000 NEWBURY RD STE 250
NEWBURY PARK CA
91320-6444
US

V. Phone/Fax

Practice location:
  • Phone: 805-375-2233
  • Fax:
Mailing address:
  • Phone: 805-375-2233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number36244
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number111041
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: