Active NPI
Shivalee Mansukh Dadhania
- Nurse Practitioner
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95018005
- Practice address
- 200 W Santa Ana Blvd Ste 1000
Santa Ana, CA 92701-7552 - Phone
- (714) 480-6767
- NPI assigned
- Jan 4, 2021
- Last updated
- Jul 25, 2024
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95018005 | CA | Primary |
Addresses
Primary practice location
200 W Santa Ana Blvd Ste 1000
Santa Ana, CA 92701-7552
Mailing address
200 W Santa Ana Blvd Ste 1000
Santa Ana, CA 92701-7552
Phone (714) 480-6767
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 W Civic Ctr Dr
Suite 801
Santa Ana, CA 92701-4515
Phone (714) 480-6767
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| County of Orange | Current | Accepting new patients | |
| County of Orange | Current | Accepting new patients | |
| County of Orange | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients |
Locations
510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416
23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940
1529 E Palmdale Blvd
Ste 150
Palmdale, CA 93550
Phone (661) 575-1800
2260 E Palmdale Blvd
Ste J
Palmdale, CA 93550
Phone (661) 575-1800
200 W Santa Ana Blvd
Ste 1000
Santa Ana, CA 92701
Phone (714) 480-6641
401 W Civic Center Dr
Ste 801
Santa Ana, CA 92701
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Health Care Agency
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Ana, CA
- NPI 1104963347
-
dba GENESIS Countywide Older Adult Program
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1083633929
-
dba AMHS Crisis Stabilization Unit
- Adult Mental Health Clinic/Center
- Santa Ana, CA
- NPI 1598025793
-
dba Palmdale Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Palmdale, CA
- NPI 1881627420
-
dba Arcadia Mental Health Center-Full Service Partnership
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arcadia, CA
- NPI 1902676075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1215525480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W SANTA ANA BLVD STE 1000",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927017552",
"telephone_number": "714-480-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W SANTA ANA BLVD STE 1000",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927017552",
"telephone_number": "714-480-6767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADHANIA",
"first_name": "SHIVALEE",
"middle_name": "MANSUKH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-04",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95018005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.