PATRICK M. JADALI DPM INC
NPI 1295430528
Clinic/Center - Podiatric in Lake Forest, CA
About Patrick M. Jadali Dpm Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICK M. JADALI DPM INC (NPI 1295430528) is a healthcare organization registered as a podiatric in Lake Forest, California and active in the NPI registry since April 2023. The organization lists Patrick Jadali, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Patrick M. Jadali Dpm Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Patrick M. Jadali DPM Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Patrick M. Jadali Dpm Inc's NPI number?
The NPI number for Patrick M. Jadali Dpm Inc is 1295430528. It was assigned to this organization in the NPPES registry on April 4, 2023.
Where is Patrick M. Jadali Dpm Inc located?
Patrick M. Jadali Dpm Inc is located at 24641 Coleford St, Lake Forest, CA 92630. The listed phone number is (949) 333-9626.
What is Patrick M. Jadali Dpm Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Patrick M. Jadali Dpm Inc enrolled in Medicare?
Yes. Patrick M. Jadali Dpm Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Patrick M. Jadali Dpm Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Patrick M. Jadali Dpm Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Patrick M. Jadali Dpm Inc was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Patrick M. Jadali Dpm Inc · NPI 1295430528
Podiatric organization in Lake Forest, California. Organization record, active in the CMS NPPES registry since April 4, 2023.
## Identity
- **NPI:** 1295430528 (Entity type: Organization)
- **Enumerated:** April 4, 2023
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Organization subpart:** No
- **Authorized official:** Patrick Jadali, CEO
## Practice location
- **Address:** 24641 COLEFORD ST, Lake Forest, CA 92630-3925
- **Phone:** (949) 333-9626
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1295430528) · Data from the CMS NPPES public registry.