Individual provider Active NPI

Janki Sukhadia, PA-C

  • Physician Assistant
  • Anaheim, CA
National Provider Identifier
1639985203
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
65401 Issued in CA
Practice address
5505 E Santa Ana Canyon Rd Unit 17374
Anaheim, CA 92817-1217
Phone
(714) 234-3256
NPI assigned
Dec 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 65401 CA Primary

Addresses

Primary practice location

5505 E Santa Ana Canyon Rd Unit 17374
Anaheim, CA 92817-1217

Mailing address

1735 N Rainwood Cir Apt D
Anaheim, CA 92807-1321
Phone (714) 234-3256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250506000783 CA Practitioner - Physician Assistant 6305363102 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tpirc Medical Foundation Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: janki.sukhadia.1@11920.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1639985203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 N RAINWOOD CIR APT D",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071321",
            "telephone_number": "714-234-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 E SANTA ANA CANYON RD UNIT 17374",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928171217",
            "telephone_number": "714-234-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKHADIA",
        "first_name": "JANKI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "65401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.