Individual provider Active NPI

Janelle Candaza, OTR/L

  • Occupational Therapist
  • Vallejo, CA
National Provider Identifier
1851173983
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
25588 Issued in CA
Practice address
127 Hospital Dr Ste 101
Vallejo, CA 94589-2500
Phone
(879) 570-7552
NPI assigned
Oct 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 25588 CA Primary

Addresses

Primary practice location

127 Hospital Dr Ste 101
Vallejo, CA 94589-2500

Mailing address

160 Vail CT
Vacaville, CA 95687-5957
Phone (951) 764-6591

Other names 1

  • Janelle Jamal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231108002777 CA Practitioner - Occupational Therapist in Private Practice 9133576473 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northbay Health Medical FoundationGroup PAC ID 3274010871, 207 clinicians
Northbay Physicians Surgery Center, LLCGroup PAC ID 0042122244, 336 clinicians

Practice addresses (Care Compare)

1860 Pennsylvania Ave
Fairfield, CA 94533-3590
Phone (707) 646-4114

2500 Hilborn Rd
Fairfield, CA 94534-1097
Phone (707) 646-3445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25588CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Northbay Health Medical Foundation CurrentSince Jan 1, 2026 Accepting new patients
Grove, Andersen, Ghiringhelli Physical Therapy a Professional Co Occupational Therapist CurrentSince Oct 30, 2023 Accepting new patients
Northbay Healthcare Group CurrentSince Nov 26, 2024 Accepting new patients
Northbay Healthcare Group Current Accepting new patients

Locations

2500 Hilborn Rd
Fairfield, CA 94534
Phone (707) 646-3445

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1860 Pennsylvania Ave
Ste 110
Fairfield, CA 94533
Phone (707) 254-9693

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999

127 Hospital Dr
Ste 101
Vallejo, CA 94589
Phone (707) 512-7290

101 Main St
Winters, CA 95694
Phone (530) 795-4123

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

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.

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1851173983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 VAIL CT",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875957",
            "telephone_number": "951-764-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 HOSPITAL DR STE 101",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892500",
            "telephone_number": "879-570-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDAZA",
        "first_name": "JANELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "25588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELLE",
            "last_name": "JAMAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.