Individual provider Active NPI

Danielle D. Jandial

  • Gynecologic Oncology Physician
  • Orange, CA
National Provider Identifier
1295977932
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
A83406 Issued in CA
Practice address
101 The City Dr.
BLDG. 56, Room 260
Orange, CA 92683-1491
Phone
(714) 456-8028
NPI assigned
Mar 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X A83406 CA Primary

Addresses

Primary practice location

101 The City Dr.
BLDG. 56, Room 260
Orange, CA 92683-1491

Mailing address

460 Tangerine PL
Brea, CA 92823-1809
Phone (714) 854-0016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

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": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1295977932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 TANGERINE PL",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928231809",
            "telephone_number": "714-854-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR.",
            "address_2": "BLDG. 56, ROOM 260",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "926831491",
            "telephone_number": "714-456-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANDIAL",
        "first_name": "DANIELLE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-26",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "A83406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.