Jadran Dychioco, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95010596 Issued in CA

Practice address

27875 Smyth Dr Ste 101
Valencia, CA 91355-6064

Phone

(661) 702-1440

NPI assigned

Dec 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Mayo Newhall Clinics LLCGroup PAC ID 7911236047, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12549/brand/1/csg/1/fhir/r4

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.

• Henry Mayo Newhall Clinics, LLC

  • Multi-Specialty Clinic/Center
  • Valencia, CA
  • NPI 1306498829
  Medicare reassignment Care Compare group NPD
• Henry Mayo Newhall Urgent Care Clinics, LLC

  • Urgent Care Clinic/Center
  • Valencia, CA
  • NPI 1841841038
  Medicare reassignment NPD
• SCCT Medical Group, PC

  • Internal Medicine Physician
  • Valencia, CA
  • NPI 1952878795
  Medicare reassignment NPD

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1174094239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27727 SUMMER GROVE PL",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541895",
            "telephone_number": "661-513-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27875 SMYTH DR STE 101",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913556064",
            "telephone_number": "661-702-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 Westwood Plz",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958358",
            "country_code": "US",
            "telephone_number": "661-513-7332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYCHIOCO",
        "first_name": "JADRAN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "773475",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Duran
• Daniel Gerald Durchslag, DDS
• Johanna Elizabeth Durkin
• Anjeza Durollari, DC
• Sarah Dwyer, MA
• Jessica Dye, LMFT
• Dynamic Interventions, Inc.
• E Nikjoo DDS Inc
• Patrick Ebrahamian
• Brayden Echols

• Family Nurse Practitioner in Valencia, CA
• Providers in Valencia, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.

Verify at the official NPI Registry.