Individual provider Active NPI

Jyoti Hitesh Dalal, R.P.T.

  • Physical Therapist
  • San Leandro, CA
National Provider Identifier
1659434132
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 18316 Issued in CA
Practice address
1440 168TH Ave
San Leandro, CA 94578-2409
Phone
(510) 481-6328
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 18316 CA Primary

Addresses

Primary practice location

1440 168TH Ave
San Leandro, CA 94578-2409

Mailing address

1440 168TH Ave
San Leandro, CA 94578-2409
Phone (510) 481-6328

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://proofpointishttps://proofpointisolation.com/browser?url=https%3A%2F%2Fcareepicwest.kp.org%3A14430%2FInterconnect-prodcalgateway%2Fwcf%2Fepic.community.hie%2Fxcpdrespondinggatewaysync.svc%2Fncalceqolation.com/browser?url=https%3A%2F%2Fcareepicwest.kp.org%3A14430%2FInterconnect-prodcalgateway%2Fwcf%2Fepic.community.hie%2Fxcpdrespondinggatewaysync.svc%2Fncalceq Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
PT 18316CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1659434132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 168TH AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782409",
            "telephone_number": "510-481-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 168TH AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782409",
            "telephone_number": "510-481-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAL",
        "first_name": "JYOTI",
        "middle_name": "HITESH",
        "name_prefix": "Mrs.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 18316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://proofpointishttps://proofpointisolation.com/browser?url=https%3A%2F%2Fcareepicwest.kp.org%3A14430%2FInterconnect-prodcalgateway%2Fwcf%2Fepic.community.hie%2Fxcpdrespondinggatewaysync.svc%2Fncalceqolation.com/browser?url=https%3A%2F%2Fcareepicwest.kp.org%3A14430%2FInterconnect-prodcalgateway%2Fwcf%2Fepic.community.hie%2Fxcpdrespondinggatewaysync.svc%2Fncalceq",
            "affiliation": "N",
            "endpointDescription": "carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1440 168th Ave",
            "city": "San Leandro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945782409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.