Individual provider Active NPI

Akruti Dadhania

  • Gerontology Nurse Practitioner
  • Anaheim, CA
National Provider Identifier
1790217735
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
NP95006146 Issued in CA
Practice address
1711 W Romneya Dr
Anaheim, CA 92801-1804
Phone
(714) 484-1200
NPI assigned
Mar 29, 2017
Last updated
Mar 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP95006146 CA
Gerontology Nurse Practitioner 363LG0600X NP95006146 CA Primary

Addresses

Primary practice location

1711 W Romneya Dr
Anaheim, CA 92801-1804

Mailing address

1711 W Romneya Dr
Anaheim, CA 92801-1804

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170707002188 CA Practitioner - Nurse Practitioner 7214206150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ashok Amin M D IncGroup PAC ID 1153488986, 5 clinicians
Altea Medical California PCGroup PAC ID 1850740150, 84 clinicians

Practice addresses (Care Compare)

1711 W Romneya Dr
Anaheim, CA 92801-1804
Phone (714) 484-1200

2353 23Rd St
Eureka, CA 95501-3201
Phone (707) 445-3261

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP95006146CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical California PC CurrentSince Mar 28, 2024 Accepting new patients
Ashok Amin M D Inc CurrentSince May 13, 2017 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

1711 W Romneya Dr
Anaheim, CA 92801
Phone (714) 484-1200

2353 23rd St
Eureka, CA 95501
Phone (704) 445-3261

2321 Newburg Rd
Fortuna, CA 95540
Phone (707) 725-4457

517 S A St
Madera, CA 93638
Phone (559) 673-9228

2424 M St
Merced, CA 95340
Phone (209) 473-3896

2124 57th Ave
Oakland, CA 94621
Phone (510) 261-2628

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

3000 N Gate Rd
Seal Beach, CA 90740
Phone (562) 594-5790

2005 River St
Susanville, CA 96130
Phone (530) 257-5341

13333 Fenton Ave
Sylmar, CA 91342
Phone (818) 367-1033

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1790217735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W ROMNEYA DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W ROMNEYA DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011804",
            "telephone_number": "714-484-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADHANIA",
        "first_name": "AKRUTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP95006146",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "NP95006146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.