Srisha Anil Jhangiani, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA63564 Issued in CA

Practice address

1000 E Dominguez St Ste 110
Carson, CA 90746-3615

Phone

(310) 830-4561

NPI assigned

Oct 27, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HDAADA/Endpoint/HDAADA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heacock Health Medical Group, Inc.

  • Urgent Care Clinic/Center
  • Moreno Valley, CA
  • NPI 1891251849
  Medicare reassignment NPD
• Onyx Medical Group Inc

  • Primary Care Clinic/Center
  • Whittier, CA
  • NPI 1851191019
  Medicare reassignment
• Remedial Patients Care Inc

  • Primary Care Clinic/Center
  • Corona, CA
  • NPI 1508507229
  Medicare reassignment
• Vital Medical Group, Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1124886437
  Medicare reassignment
• Ac and CS

  • Clinical Social Worker
  • Burbank, CA
  • NPI 1659794246
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1013789411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E DOMINGUEZ ST STE 110",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463615",
            "telephone_number": "310-830-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E DOMINGUEZ ST STE 110",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463615",
            "telephone_number": "310-830-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JHANGIANI",
        "first_name": "SRISHA",
        "middle_name": "ANIL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramon Jauregui
• Jed Padre MD Inc
• Jenifer B Labrador DDS Inc
• Sara Lynn Jensen, NBC-HWC
• Jessy Joe Inc
• Karla Mariana Jimenez Munoz
• JMJ Medical Supply & Equipment, Inc.
• Helen Joe, PHARM.D.
• Betty Marleena Johnson, DDS
• Boshanda Johnson, CHHA

• Physician Assistant in Carson, CA
• Providers in Carson, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.