Jai Ho LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JAI HO LLC

Doing business as

Malabar Medical Walk In Clinic

Practice address

1663 Georgia St NE Ste 400
Palm Bay, FL 32907-2537

Phone

(321) 802-9080

Fax

(321) 802-5211

NPI assigned

Sep 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kantilal H Bhalani, MD

Title

MD

Phone

(321) 802-9080

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Malabar Medical Walk In Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jai Ho

  dba Sand Lake Medical Walk In Clinic

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1609321454

  O20180817001214

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Gene Campbell, PA-C

  • Medical Physician Assistant
  • Melbourne, FL
  • NPI 1023094414
  NPD
• Karen Carter, APRN

  • Family Nurse Practitioner
  • Apopka, FL
  • NPI 1518464064
  NPD
• Deborah L. Marino, ARNP-C

  • Adult Health Nurse Practitioner
  • Malabar, FL
  • NPI 1093739302
  NPD
• Mosammat Khaleda Nayem, PA-C

  • Physician Assistant
  • Orlando, FL
  • NPI 1427012418
  NPD
• Humberto Perez, M.D

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1215130943
  NPD
• Vernice D Ragsdale, MD

  • Family Medicine Physician
  • Indialantic, FL
  • NPI 1467446450
  NPD
• Erin Goss, CNP

  • Adult Health Nurse Practitioner
  • Hackett, AR
  • NPI 1386096584
  NPD
• Uday Daphtary, MD

  • Family Medicine Physician
  • Kissimmee, FL
  • NPI 1558323477
  NPD (past)

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1235507781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 GEORGIA STREET",
            "address_2": "SUITE 400",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32907",
            "telephone_number": "321-802-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 GEORGIA ST NE STE 400",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072537",
            "telephone_number": "321-802-9080",
            "fax_number": "321-802-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAI HO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "BHALANI",
        "authorized_official_first_name": "KANTILAL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "321-802-9080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1235507781",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malabar Medical Walk In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tierra Jackson, LPCA, LMFTA, RMFTI
• Lakenya Jacobs
• James Jacobson, M.D.
• Martin Jacobson, D.C.
• Justin Jadunandan, DPT, ATC
• Calvin James, DPT
• Michael Leonard James II
• Monique James
• Tiffany James, APRN
• JBL Enterprises, LLC (Heart to Heart)

• Family Medicine Physician in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.

Verify at the official NPI Registry.