Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mayank Shami Pathak, MD

Individual provider Neurology Physician · NPI 1114959475

Dr. Mayank Shami Pathak, MD is a Neurology in Orange, California. Graduated from George Washington University School of Medicine in 1991, 35 years ago. Practices with Pavilion Neurology Medical Group Inc, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
35
Trained at
George Washington University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1140 W La Veta Ave Ste 730
Orange, CA 92868-4223
Phone: (714) 541-6800
Fax: (714) 541-1119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence G076833 (CA)

Record details

NPI number1114959475
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESJuly 9, 2007
Mailing address1140 W La Veta Ave, Suite 730, Orange, CA 92868-4223

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Pavilion Neurology Medical Group Inc. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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