Active NPI
Janaz Ghadiali, DPT
- Physical Therapist
- Lake Elsinore, CA
National Provider Identifier
1053735910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 291586
- Practice address
- 31764 Casino Dr
Suite 106a
Lake Elsinore, CA 92530-4571 - Phone
- (951) 471-3300
- Fax
- (951) 471-3301
- NPI assigned
- Feb 13, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 291586 | CA | Primary |
Addresses
Primary practice location
31764 Casino Dr
Suite 106a
Lake Elsinore, CA 92530-4571
Mailing address
24630 Washington Ave
Suite 200
Murrieta, CA 92562-6131
Phone (951) 696-9353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36320 Inland Valley Dr
Suite 209
Wildomar, CA 92595-7512
Phone (951) 526-1968
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cyrus Dadachanji MD Inc. | Current | Accepting new patients |
Locations
36320 Inland Valley Dr
Ste 209
Wildomar, CA 92595
Phone (951) 526-1968
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://api.platform.athenahealth.com/25545/brand/1/csg/1/fhir/r4
- janaz.ghadiali.1@25545.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Pain Medicine (Anesthesiology) Physician
- Murrieta, CA
- NPI 1609489418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1053735910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24630 WASHINGTON AVE",
"address_2": "SUITE 200",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925626131",
"telephone_number": "951-696-9353",
"fax_number": "951-973-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31764 CASINO DR",
"address_2": "SUITE 106A",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925304571",
"telephone_number": "951-471-3300",
"fax_number": "951-471-3301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHADIALI",
"first_name": "JANAZ",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-13",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "291586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Elsinore, CA
- Genesis Pharmacy Corp (The Medicine Shoppe)
- Genesis Pharmacy Corp (Enova Care Pharmacy)
- Camille M George
- Michael E Geraghty, PH.D.
- Geoffrey David Gerstein, LPT
- Hamzaa Ghani, PA
- Ghorbanian DDS, VII, Inc Castillo G Dental Corp (Aava Dental of Lake Elsinore)
- Devory Gibson Jr Jr.
- Navdeep Kaur Gill, PA-C
- Tina Giordano
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.