Provider Demographics
NPI:1942552914
Name:PATEL, SAKSHI MONGA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:SAKSHI
Middle Name:MONGA
Last Name:PATEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:SAKSHI
Other - Middle Name:
Other - Last Name:AGGARWAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:31720 S TEMECULA PKWY
Mailing Address - Street 2:STE 200
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592
Mailing Address - Country:US
Mailing Address - Phone:951-303-6900
Mailing Address - Fax:951-303-2900
Practice Address - Street 1:31720 S TEMECULA PKWY
Practice Address - Street 2:STE 200
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592
Practice Address - Country:US
Practice Address - Phone:951-303-6900
Practice Address - Fax:951-303-2900
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA22557363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical