Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013640358 Individual Practitioner Female Practitioner

Mitasha Sunil Patel , PA-C

Physician Assistant • Hawthorne, CA

Professional Overview & Biography Verified Profile Summary

Mitasha Patel, PA-C is a registered healthcare professional specializing in Physician Assistant in Hawthorne, CA. Practice services are available at 4455 W 117TH ST STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4455 W 117th St Ste 200

Hawthorne, CA 902502240

Telephone 3106450444
Associated Practice Facility / Clinic
🏢 Northeast Community Clinic Facility NPI 1962050120

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Hawthorne, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.1 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
23 Specialists

Practicing in Hawthorne, CA (14617 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA62808

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
NPI 1144325473

Doctor of Medicine (M.D.)

Luz Sarria , RN NP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1194747030

RNNP

Melissa Myles , PA-C

Physician Assistant

NPI 1215130356

Physician Assistant (Certified)

Lien Pham , PA-C

Physician Assistant

NPI 1215319546

Physician Assistant (Certified)

NPI 1235575820

Doctor of Medicine (M.D.)

Donna Holbert , RN

Registered Nurse

NPI 1417995697

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address December 07, 2023

Registered at 2550 W MAIN ST STE 301, ALHAMBRA, CA 918017003

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2023

Physician Assistant (License #PA62808 in CA)

📍
Updated Practice Location June 08, 2023

Registered at 4455 W 117TH ST STE 200, HAWTHORNE, CA 902502240 (Tel: 3106450444)

👤
Provider Name / Credentials Updated June 08, 2023

Recorded as MITASHA PATEL, PA-C

NPI Profile Active July 05, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2022

Registered at 1126 9TH ST, MANHATTAN BEACH, CA 902666016 (Tel: 3109779498)

📍
Updated Business Mailing Address July 05, 2022

Registered at 1126 9TH ST, MANHATTAN BEACH, CA 902666016

👤
Provider Name / Credentials Updated July 05, 2022

Recorded as MITASHA PATEL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 05, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013640358
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2022
Last Update: December 07, 2023
Sole Proprietor: No

Mailing Address

2550 W Main St Ste 301

Alhambra, CA 918017003

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.