Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Ekta Patel, PA-C

Individual provider Physician Assistant · NPI 1811502545

MS. Ekta Patel, PA-C is a Physician Assistant in San Rafael, California. Qualified in 2021, 5 years ago. Practices with Blossom Ridge Medical Inc, a 6-clinician group and offers telehealth. Licensed in California and Illinois.

Years since qualifying
5
Licensed in
CA, IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4000 Civic Center Dr Ste 200B
San Rafael, CA 94903-5232
Phone: (415) 492-3333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60634 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 085-008905 (IL)

Record details

NPI number1811502545
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2020
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Blossom Ridge Medical Inc — 6 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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