Jennifer Ghahyasi

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

306005637 Issued in CA

Practice address

724 S Birchleaf Dr
Anaheim, CA 92804-3241

Phone

(877) 612-5477

NPI assigned

Feb 4, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Blessings Senior Care

  • Assisted Living Facility
  • Anaheim, CA
  • NPI 1619767175
  NPD Authorized official
• Grace Senior Solutions

  • Community Based Hospice Care Agency
  • Orange, CA
  • NPI 1871340802

  Assisted Living Facility

  NPD

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1194479527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 ROOSEVELT WAY",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262716",
            "telephone_number": "714-396-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 S BIRCHLEAF DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043241",
            "telephone_number": "877-612-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAHYASI",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "306005637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valanda L German II
• Jorge Luis Geronimo, DDS
• Olivia Michelle Gerry
• Stanford L. Gertler, MD
• Daniel Scott Geurin
• Ibrahim A Ghanem, D.C
• Anisha Ghanshani, MD
• Sushma R. Ghanshani, MD
• Shabnam Ghazizadeh, MD
• Ana Ghibu, D.M.D.

• Assisted Living Facility in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.