Active NPI
Amer A Jandali, M.D.
- Specialist
- Moreno Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A49316
- Practice address
- 23110 Atlantic Cir
Suite a
Moreno Valley, CA 92553-5920 - Phone
- (951) 243-9885
- Fax
- (951) 243-8126
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A49316 | CA | Primary |
Addresses
Primary practice location
23110 Atlantic Cir
Suite a
Moreno Valley, CA 92553-5920
Mailing address
PO Box 7419
Moreno Valley, CA 92552-7419
Phone (951) 243-9885
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
23110 Atlantic Cir
Suite a
Moreno Valley, CA 92553-5920
Phone (909) 243-9885
Hospital & facility affiliations
- Direct Provider of Healthcare Services, Inc
- Riverside Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49316 | CA | MD | General Practice Dentistry |
| A49316 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amer a Jandali MD Inc | Current | Accepting new patients | |
| West Coast Psychiatry MD P.C. | Current | Accepting new patients |
Locations
23110 Atlantic Cir
Ste A
Moreno Valley, CA 92553
Phone (213) 928-2194
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Moreno Valley, CA
- NPI 1790971570
-
- Psychiatry Physician
- Aliso Viejo, CA
- NPI 1477352581
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rancho Cucamonga, CA
- NPI 1003056292
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1114971660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1023171501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7419",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925527419",
"telephone_number": "951-243-9885",
"fax_number": "951-243-8126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23110 ATLANTIC CIR",
"address_2": "SUITE A",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925535920",
"telephone_number": "951-243-9885",
"fax_number": "951-243-8126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANDALI",
"first_name": "AMER",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A49316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.