Active NPI
Janika Patricia Vondrak, PA-C, MPH
- Physician Assistant
- Minot, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PAC0979
- Practice address
- 2305 37TH Ave SW
Minot, ND 58701-7669 - Phone
- (701) 857-5000
- NPI assigned
- Jun 16, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PAC0979 | ND | |
| Medical Physician Assistant | 363AM0700X | 55665 | CA | |
| Surgical Physician Assistant | 363AS0400X | PA2149 | NV | |
| Physician Assistant | 363A00000X | PAC0979 | ND | Primary |
Addresses
Primary practice location
2305 37TH Ave SW
Minot, ND 58701-7669
Mailing address
PO Box 5010
Minot, ND 58702-5010
Phone (701) 418-8000
Other practice location 1
8205 W Warm Springs Rd Ste 250
Las Vegas, NV 89113-3646
Phone (702) 227-2152
Other practice location 2
8402 Centennial Pkwy
Las Vegas, NV 89149-4792
Phone (702) 869-3486
Other practice location 3
2930 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-5059
Phone (702) 263-9082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA2149 | Other | NV | NV MEDICAL LICENSE |
Other names 1
- Janika Patricia Sullivan
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
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
425 Haaland Dr
Suite 205
Thousand Oaks, CA 91361-5231
Phone (805) 481-3685
502 Spring St
Paso Robles, CA 93446-3169
Phone (805) 781-3685
860 Oak Park Blvd
Suite 203
Arroyo Grande, CA 93420-1800
Phone 65088956508006
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.05 of 100
- Quality
- 60.57
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAC0979 | ND | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arroyo Grande Surgical Institute, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Arroyo Grande, CA
- NPI 1295782373
-
- Emergency Medicine Physician
- La Jolla, CA
- NPI 1710315353
-
- Emergency Medicine Physician
- La Jolla, CA
- NPI 1780122986
-
- Ambulatory Surgical Clinic/Center
- Arroyo Grande, CA
- NPI 1659941151
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1326532037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5010",
"city": "MINOT",
"state": "ND",
"postal_code": "587025010",
"telephone_number": "701-418-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 37TH AVE SW",
"city": "MINOT",
"state": "ND",
"postal_code": "587017669",
"telephone_number": "701-857-5000"
}
],
"practiceLocations": [
{
"address_1": "8205 W Warm Springs Rd Ste 250",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891133646",
"country_code": "US",
"telephone_number": "702-227-2152",
"fax_number": "702-252-0369",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8402 Centennial Pkwy",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891494792",
"country_code": "US",
"telephone_number": "702-869-3486",
"fax_number": "702-869-3542",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2930 W Horizon Ridge Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890525059",
"country_code": "US",
"telephone_number": "702-263-9082",
"fax_number": "702-263-9088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VONDRAK",
"first_name": "JANIKA",
"middle_name": "PATRICIA",
"credential": "PA-C, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-16",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ND",
"license": "PAC0979",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "55665",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NV",
"license": "PA2149",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ND",
"license": "PAC0979",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NV MEDICAL LICENSE",
"identifier": "PA2149",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANIKA",
"last_name": "SULLIVAN",
"middle_name": "PATRICIA",
"credential": "PA-C, MPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.