Individual provider Active NPI

Fnu Rida Ul Jannat, MD

  • Rheumatology Physician
  • Vista, CA
National Provider Identifier
1285218867
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A206562 Issued in CA
Practice address
2023 W Vista Way Ste J
Vista, CA 92083-6030
Phone
(304) 435-2709
NPI assigned
May 10, 2021
Reactivated
Jul 13, 2022
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A206562 CA Primary

Addresses

Primary practice location

2023 W Vista Way Ste J
Vista, CA 92083-6030

Mailing address

2023 W Vista Way Ste J
Vista, CA 92083-6030
Phone (304) 435-2709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241206002228 NC Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1951837434

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3000 S Robertson Blvd
Suite 280
Los Angeles, CA 90034-3144

3608 Wellington CT
Hillsborough, NJ 08844-4888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1285218867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 W VISTA WAY STE J",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836030",
            "telephone_number": "304-435-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 W VISTA WAY STE J",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836030",
            "telephone_number": "304-435-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDA UL JANNAT",
        "first_name": "FNU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "deactivation_date": "2022-05-06",
        "reactivation_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A206562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.