NPIMap

Individual provider Active NPI

Andrew Stephen Janik, M.D.

  • Psychiatry Physician
  • Rancho Mirage, CA
National Provider Identifier
1992777098
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G25917 Issued in CA
Practice address
41750 Rancho Las Palmas Dr
Suite C-3
Rancho Mirage, CA 92270-5511
Phone
(760) 776-4770
Fax
(760) 776-4772
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G25917 CA Primary
Psychiatry Physician 2084P0800X MD-12183 HI
Psychiatry Physician 2084P0800X 17282 CO
Psychiatry Physician 2084P0800X 31698 MO

Addresses

Primary practice location

41750 Rancho Las Palmas Dr
Suite C-3
Rancho Mirage, CA 92270-5511

Mailing address

41750 Rancho Las Palmas Dr
Suite C-3
Rancho Mirage, CA 92270-5511
Phone (760) 776-4770

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G25917CAMDPsychiatry Physician
17282COMDPsychiatry Physician
MD-12183HIMDPsychiatry Physician
31698MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Janik, M.D., Inc Psychiatry PastSince Aug 1, 2003 Accepting new patients
Bruce B Chisholm MD a Professional Corporation Past Accepting new patients

Organizations & group practices 2

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992777098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41750 RANCHO LAS PALMAS DR",
            "address_2": "SUITE C-3",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705511",
            "telephone_number": "760-776-4770",
            "fax_number": "760-776-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41750 RANCHO LAS PALMAS DR",
            "address_2": "SUITE C-3",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705511",
            "telephone_number": "760-776-4770",
            "fax_number": "760-776-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANIK",
        "first_name": "ANDREW",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G25917",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD-12183",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "17282",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "31698",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.