Active NPI
Janelle Candaza, OTR/L
- Occupational Therapist
- Vallejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 25588
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25588 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northbay Health Medical Foundation | Current | Accepting new patients | |
| Grove, Andersen, Ghiringhelli Physical Therapy a Professional Co | Occupational Therapist | Current | Accepting new patients |
| Northbay Healthcare Group | Current | 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.
-
- Internal Medicine Physician
- Fairfield, CA
- NPI 1760283527
-
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
- Physical Therapist
- Vallejo, CA
- NPI 1053393538
Occupational Therapist
-
- Multi-Specialty Clinic/Center
- Vacaville, CA
- NPI 1760534713
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.