Individual provider Active NPI

Jodi Ann Mainwal, RN

  • Nephrology Registered Nurse
  • Irvine, CA
National Provider Identifier
1932628005
Registry record updated Sep 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology Registered NurseTaxonomy code 163WN0300X
License
494337 Issued in CA
Practice address
11 Technology Dr # Ms 41
Irvine, CA 92618-2302
Phone
(949) 923-3200
Fax
(949) 923-3520
NPI assigned
Sep 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 494337 CA
Hemodialysis Registered Nurse 163WH0500X 494337 CA
Nephrology Registered Nurse 163WN0300X 494337 CA Primary

Addresses

Primary practice location

11 Technology Dr # Ms 41
Irvine, CA 92618-2302

Mailing address

17638 Wildflower PL
Chino Hills, CA 91709-3264
Phone (951) 235-3013

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
494337CAMDHemodialysis Registered Nurse

Interoperability endpoints

  • Direct secure messaging: jodi.mainwal.p7@direct.monarchhealthcare.nextgenshare.com
  • Direct secure messaging: jodi.mainwal.p33@direct.monarchhealthcare.nextgenshare.com
  • Direct secure messaging: jodi.mainwal.p4@direct.monarchhealthcare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1932628005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17638 WILDFLOWER PL",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093264",
            "telephone_number": "951-235-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TECHNOLOGY DR # MS 41",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182302",
            "telephone_number": "949-923-3200",
            "fax_number": "949-923-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINWAL",
        "first_name": "JODI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "494337",
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "CA",
            "license": "494337",
            "primary": false
        },
        {
            "code": "163WN0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nephrology",
            "state": "CA",
            "license": "494337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; 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.