Physician Compare National (NPI:1528057197)

HEALTHCARE PROVIDER: JONI NOEL KAIGHOBADI D.O

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1528057197
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4587687660
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060104000879
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KAIGHOBADI
	Individual professional last name
Provider First Name	JONI
	Individual professional first name
Provider Middle Name	N
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GENERAL PRACTICE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GENERAL PRACTICE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	COMPLETE LOCAL SPECIALTY CARE INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3971591231
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	10
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1770 E HALLANDALE BEACH BLVD
	Group Practice or individual's line 1 address
City	HALLANDALE BEACH
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	330094611
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9544582572
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y