Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mitesh G Popat, MD

Individual provider Family Medicine Physician · NPI 1104057397

Dr. Mitesh G Popat, MD is a Family Practice in Venice, California. Graduated from Tufts University School of Medicine in 2007, 19 years ago. Practices with Venice Family Clinic, a 102-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Trained at
Tufts University School of Medicine
Licensed in
CA
In the registry since
2009
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

604 Rose Ave
Venice, CA 90291-2767
Phone: (310) 392-8636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A107005 (CA)

Record details

NPI number1104057397
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 5, 2009
Last updated in NPPESMarch 21, 2023
Certification dateMarch 21, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Venice Family Clinic — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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