Healthcare Provider Details

I. General information

NPI: 1649008111
Provider Name (Legal Business Name): JNPMD EXPERTISE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 WESTCLIFF DR STE 201
NEWPORT BEACH CA
92660-5518
US

IV. Provider business mailing address

1501 WESTCLIFF DR STE 201
NEWPORT BEACH CA
92660-5518
US

V. Phone/Fax

Practice location:
  • Phone: 949-629-3380
  • Fax: 949-629-3085
Mailing address:
  • Phone: 949-629-3380
  • Fax: 949-629-3085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAY NITIN PATEL
Title or Position: PRESIDENT/CEO
Credential: MD
Phone: 949-629-3380