Healthcare Provider Details

I. General information

NPI: 1114119914
Provider Name (Legal Business Name): NIMISH PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2007
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14350 WHITTIER BLVD STE 315
WHITTIER CA
90605-2150
US

IV. Provider business mailing address

14350 WHITTIER BLVD STE 315
WHITTIER CA
90605-2150
US

V. Phone/Fax

Practice location:
  • Phone: 562-945-2787
  • Fax:
Mailing address:
  • Phone: 951-226-6208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA107644
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberA107644
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: