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NPI Code Detail

MEDICARE: NITI PATEL

MEDICARE: NITI PATEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1114844719
Entity Type Code : Individual
Provider Name (Legal Business Name) : NITI PATEL
Provider Business Mailing Address
First Line : 7138 CENTERSTONE WAY
Second Line :
City : FONTANA
State : CA
Zip : 92336-0883
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3878 RUFFIN RD STE B
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1842
Country : US
Telephone Number : 619-795-9925
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2026
Last Update Date : 07/02/2026

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Directions to “ NITI PATEL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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