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Ekta Patel

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1420 River Park Dr Ste 120, Sacramento, CA 95815-4506

PECOS Enrollment

Based on the most recent information from CMS, provider Ekta Patel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1811502545
Provider Type
Individual
Full Name
Patel, Ekta
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
9/10/2020
Last Updated
3/25/2024

Contact Information

Practice Location

1420 River Park Dr Ste 120, Sacramento, CA 95815-4506

(916) 231-4747

Unlisted Fax

Mailing Location

681 Pennsylvania Ave, San Francisco, CA 94107-2915

(630) 827-9026

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA60634 California
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 085-008905 Illinois
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Ekta Patel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Valasek, Heather N

Kaovorakarn, Evelyn Amber

Guletz, Hannah

Zarco, Osvaldo

Vogler, Laura C.

Arif, Nida

Bobadilla, Mayra L

Popova, Yelena M.

Licciardello, Meghan

Samimi, Marjon Homeyra