Individual provider Active NPI

Nazli A Janjua, MD

  • Neurology Physician
  • Pomona, CA
National Provider Identifier
1790719292
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
224509 Issued in NY
Practice address
1798 N Garey Ave
2ND Floor Cath Lab/Neurointerventional
Pomona, CA 91767-2918
Phone
(909) 962-8441
Fax
(909) 865-9945
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 224509 NY Primary
Vascular & Interventional Radiology Physician 2085R0204X A93806 CA
Neurological Surgery Physician 207T00000X A93806 CA

Addresses

Primary practice location

1798 N Garey Ave
2ND Floor Cath Lab/Neurointerventional
Pomona, CA 91767-2918

Mailing address

9016 Sycamore Ave
#210
Montclair, CA 91763-1541
Phone (917) 574-4863

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140306000363 CA Practitioner - NeurologyPractitioner - Other (Physician) 8325044530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1115 S Sunset Ave
West Covina, CA 91790-3940
Phone (626) 962-4011

1798 N Garey Ave
Pomona, CA 91767-2918
Phone (909) 865-9500

2895 N Towne Ave
Pomona, CA 91767-2009
Phone (909) 469-2435

Hospital & facility affiliations

  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099
  • St Bernardine Medical Center Hospital, San Bernardino, CA, CCN 050129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A93806CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asia Pacific Comprehensive Stroke Network Vascular Neurology CurrentSince Jan 1, 2014 Accepting new patients
Lich Faculty Practice Neurology Past Accepting new patients
The Neurology Group Inc Neurology Past Accepting new patients
Abington Memorial Hospital Past Accepting new patients
Trustees of Columbia University in the City of New York Neurology Past Accepting new patients
Maimonides Medical Center - Interventional Neuro Associates FPP Past Accepting new patients
Suny Health Science Center at Brooklyn Past Accepting new patients
Lich Faculty Practice Past Accepting new patients
Long Island College Hospital Neurology Past Accepting new patients

Locations

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

2895 N Towne Ave
Pomona, CA 91767
Phone (909) 267-7495

1798 N Garey Ave
Fl 2
Pomona, CA 91767
Phone (909) 962-8441

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nazli.janjua.1@29399.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1790719292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9016 SYCAMORE AVE",
            "address_2": "#210",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631541",
            "telephone_number": "917-574-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 N GAREY AVE",
            "address_2": "2ND FLOOR CATH LAB/NEUROINTERVENTIONAL",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672918",
            "telephone_number": "909-962-8441",
            "fax_number": "909-865-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANJUA",
        "first_name": "NAZLI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "224509",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A93806",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A93806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.