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

Jeenaben Patel

Individual provider Licensed Vocational Nurse · NPI 1215329172

Jeenaben Patel is a Nurse Practitioner in San Leandro, California. Qualified in 2023, 3 years ago. Practices with Pine Park Health, Inc, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

2410 Merced St
San Leandro, CA 94577-4211
Phone: (510) 278-2700
Fax: (510) 343-2851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 95142808 (CA)
Licensed Vocational Nurse Taxonomy 164X00000X · Licence 285896 (CA)

Record details

NPI number1215329172
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 2, 2015
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024
Mailing addressPo Box 888584, Los Angeles, CA 90088-8584

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Pine Park Health, Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Leandro