Active NPI
Anjana D Dalal, CRNP, FNP-BC
- Family Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP010306
- Practice address
- 9449 Goodwick CT
San Diego, CA 92123-3604 - Phone
- (858) 864-2245
- NPI assigned
- May 11, 2009
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP010306 | PA | Primary |
Addresses
Primary practice location
9449 Goodwick CT
San Diego, CA 92123-3604
Mailing address
9449 Goodwick CT
San Diego, CA 92123-3604
Phone (858) 864-2245
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 953182 | Other | MD | CAREFIRST MD BCBS |
| 2109720 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3558
Hospital & facility affiliations
- Inova Fair Oaks Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.99 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP010306 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Commonwealth Emergency Physicians PC | Current | Accepting new patients | |
| Fair Oaks Hospitalist Physicians, PLLC | Current | Accepting new patients | |
| Medstar Urgent Care, LLC | Current | Accepting new patients |
Locations
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670
1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
8605 Ridgelys Choice Dr
Nottingham, MD 21236
Phone (410) 248-2310
3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960
11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
Interoperability endpoints
- adalal586791@soc.inova.org
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490486400000",
"number": "1962636555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9449 GOODWICK CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921233604",
"telephone_number": "858-864-2245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9449 GOODWICK CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921233604",
"telephone_number": "858-864-2245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALAL",
"first_name": "ANJANA",
"middle_name": "D",
"credential": "CRNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-11",
"last_updated": "2017-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP010306",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "953182",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "2109720",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.