{"schema":"gale.providerFacts/1","npi":"1134534571","url":"https://www.gale.care/providers/ca/colton/joji-james-md-1134534571","factsUrl":"https://www.gale.care/npi/1134534571.json","markdownUrl":"https://www.gale.care/npi/1134534571.md","generatedAt":"2026-11-03T01:43:37.425Z","exportId":"elig-ca-20261023T221350Z","factsHash":"1d0d836690e2f439","factsChangedAt":"2026-10-23T00:00:00.000Z","index":{"robots":"index","basis":"index-all"},"summary":"Joji James, MD (NPI 1134534571) is listed in the NPPES registry with the specialty Nephrology Physician in Colton, CA, phone (909) 835-7496, as of the registry file of Jun 8, 2026.","identity":{"name":{"id":"name","value":"Joji James","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Joji James under NPI 1134534571, as of the registry file of Jun 8, 2026."},"credential":{"id":"credential","value":"MD","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists the credential MD for Joji James, MD (NPI 1134534571), as of the registry file of Jun 8, 2026."},"specialty":{"id":"specialty","value":"Nephrology Physician","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Joji James, MD (NPI 1134534571) under the specialty Nephrology Physician, as of the registry file of Jun 8, 2026."},"registryStage":{"id":"registry-stage","value":"as-listed","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry does not list Joji James, MD (NPI 1134534571) under a training program, as of the registry file of Jun 8, 2026."},"npiIssued":{"id":"npi-issued","value":2014,"status":"confirmed","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry shows NPI 1134534571 (Joji James, MD) issued in 2014, as of the registry file of Jun 8, 2026."},"practiceType":{"id":"practice-type","value":"not-sole-proprietor","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Joji James, MD (NPI 1134534571) as not a sole proprietor, as of the registry file of Jun 8, 2026."}},"location":{"city":{"id":"city","value":"Colton","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists a practice location in Colton for Joji James, MD (NPI 1134534571), as of the registry file of Jun 8, 2026."},"state":{"id":"state","value":"CA","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists a practice location in CA for Joji James, MD (NPI 1134534571), as of the registry file of Jun 8, 2026."}},"contact":{"phone":{"id":"phone","value":"(909) 835-7496","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists (909) 835-7496 as the practice phone for Joji James, MD (NPI 1134534571), as of the registry file of Jun 8, 2026."}},"care":{"newPatients":{"id":"new-patients","value":true,"status":"confirmed","source":"humana-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-23T21:53:28Z","staleAfter":"2027-01-20","confidence":"high","gate":"G4","sentence":"Humana's directory listed Joji James, MD (NPI 1134534571) as taking new patients on Oct 22, 2026."},"video":{"id":"video","value":"both","status":"confirmed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"medium","gate":"G5","sentence":"Blue Shield of California's directory listed Joji James, MD (NPI 1134534571) for video and in-person visits on Oct 22, 2026."}},"insurance":{"rows":[{"id":"ins-healthnet-marketplace","value":{"payer":"healthnet","payerLabel":"Ambetter from Health Net","line":"marketplace","products":["CA AP PPO","CA Comm Care HMO"],"accepts":true,"setting":null},"status":"confirmed","source":"healthnet-fhir-directory","asOf":"2026-10-18","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-16","confidence":"medium","gate":"G3","sentence":"Listed: Health Net's directory listed Joji James, MD (NPI 1134534571) for Ambetter from Health Net individual and family plans on Oct 18, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 6 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-bsc-commercial","value":{"payer":"bsc","payerLabel":"Blue Shield of California","line":"commercial","products":["ACCESS+ HMO","ACO HMO","CALPERS ACCESS +","CALPERS EPO","CCPOA HMO","FEHBP ACCESS + HMO","HPN EPO","LOCAL ACCESS+ HMO"],"accepts":true,"setting":"both"},"status":"confirmed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"medium","gate":"G3","sentence":"Listed: Blue Shield of California's directory listed Joji James, MD (NPI 1134534571) for Blue Shield of California commercial plans on Oct 22, 2026. Gale checked 60 listings in this directory by hand on Oct 22, 2026; 23 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-bsc-marketplace","value":{"payer":"bsc","payerLabel":"Blue Shield of California","line":"marketplace","products":["IFP EPPO","IFP TRIO"],"accepts":true,"setting":"both"},"status":"confirmed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"medium","gate":"G3","sentence":"Listed: Blue Shield of California's directory listed Joji James, MD (NPI 1134534571) for Blue Shield of California individual and family plans on Oct 22, 2026. Gale checked 60 listings in this directory by hand on Oct 22, 2026; 23 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-bsc-medicare-advantage","value":{"payer":"bsc","payerLabel":"Blue Shield of California","line":"medicare-advantage","products":["BSC 65 PLUS GROUP MAPD","BSC 65 PLUS INDIVIDUAL MAPD","BSC IMAPD HPN HMO","PPO GMAPD"],"accepts":true,"setting":"office"},"status":"confirmed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"medium","gate":"G3","sentence":"Listed: Blue Shield of California's directory listed Joji James, MD (NPI 1134534571) for Blue Shield of California Medicare Advantage plans on Oct 22, 2026. Gale checked 60 listings in this directory by hand on Oct 22, 2026; 23 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-cigna-commercial","value":{"payer":"cigna","payerLabel":"Cigna / Evernorth","line":"commercial","products":["CALIFORNIA OAP DIRECT","CALIFORNIA PPO-PPA DIRECT","SOUTHERN CA LOCALPLUS DIRECT"],"accepts":true,"setting":"office"},"status":"confirmed","source":"cigna-fhir-directory","asOf":"2026-10-18","checkedAt":"2026-10-22T21:36:04Z","staleAfter":"2027-04-16","confidence":"high","gate":"G3","sentence":"Listed: Cigna's directory listed Joji James, MD (NPI 1134534571) for Cigna / Evernorth commercial plans on Oct 18, 2026. Gale checked 51 listings in this directory by hand on Oct 22, 2026; 3 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-healthnet-commercial","value":{"payer":"healthnet","payerLabel":"Health Net","line":"commercial","products":["CA Blue and Gold HMO","CA Elect Open Access Large Group","CA Elect Open Access Small Group","CA ExcelCare Elect Open Access","CA ExcelCare HMO","CA ExcelCare Medicare COB","CA Large Group HMO","CA Medicare COB HMO"],"accepts":true,"setting":null},"status":"confirmed","source":"healthnet-fhir-directory","asOf":"2026-10-20","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-18","confidence":"medium","gate":"G3","sentence":"Listed: Health Net's directory listed Joji James, MD (NPI 1134534571) for Health Net commercial plans on Oct 20, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 6 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-humana-medicare-advantage","value":{"payer":"humana","payerLabel":"Humana","line":"medicare-advantage","products":["Employer HMO","Employer HMO27","Gold Plus HMO","Gold Plus HMO27","Group Medicare PPO+","Humana Honor HMO","Humana Honor HMO27","Medicare PPO"],"accepts":true,"setting":"office"},"status":"confirmed","source":"humana-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-23T21:53:28Z","staleAfter":"2027-04-20","confidence":"high","gate":"G3","sentence":"Listed: Humana's directory listed Joji James, MD (NPI 1134534571) for Humana Medicare Advantage plans on Oct 22, 2026."},{"id":"ins-iehp-medi-cal","value":{"payer":"iehp","payerLabel":"Inland Empire Health Plan (IEHP)","line":"medi-cal","products":["IEHP Medi-Cal"],"accepts":true,"setting":null},"status":"confirmed","source":"iehp-fhir-directory","asOf":"2026-07-27","checkedAt":"2026-10-22T15:10:17Z","staleAfter":"2027-01-23","confidence":"medium","gate":"G3","sentence":"Listed: Inland Empire Health Plan (IEHP)'s directory listed Joji James, MD (NPI 1134534571) for Inland Empire Health Plan (IEHP) Medi-Cal plans on Jul 27, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 4 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-iehp-medicare-advantage","value":{"payer":"iehp","payerLabel":"Inland Empire Health Plan (IEHP)","line":"medicare-advantage","products":["IEHP Medicare"],"accepts":true,"setting":null},"status":"confirmed","source":"iehp-fhir-directory","asOf":"2026-07-20","checkedAt":"2026-10-22T15:10:17Z","staleAfter":"2027-01-16","confidence":"medium","gate":"G3","sentence":"Listed: Inland Empire Health Plan (IEHP)'s directory listed Joji James, MD (NPI 1134534571) for Inland Empire Health Plan (IEHP) Medicare Advantage plans on Jul 20, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 4 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-kaiser-medi-cal","value":{"payer":"kaiser","payerLabel":"Kaiser Permanente (Medi-Cal)","line":"medi-cal","products":["SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP"],"accepts":true,"setting":"office"},"status":"confirmed","source":"dhcs-mcp-274-listing","asOf":"2026-04-21","checkedAt":"2026-10-22T14:42:02Z","staleAfter":"2026-08-19","confidence":"medium","gate":"G3","sentence":"Listed: DHCS Medi-Cal plan network listing listed Joji James, MD (NPI 1134534571) for Kaiser Permanente (Medi-Cal) on Apr 21, 2026. The state file is old; Gale found no newer one.","cautions":["stale"],"staleNote":"The state file is old; Gale found no newer one."},{"id":"ins-medi-cal-ffs-medi-cal","value":{"payer":"medi-cal-ffs","payerLabel":"Medi-Cal fee-for-service","line":"medi-cal","products":["Medi-Cal FFS"],"accepts":true,"setting":null},"status":"confirmed","source":"dhcs-ffs-enrolled-2026-10-19","asOf":"2026-10-19","checkedAt":"2026-10-22T14:41:40Z","staleAfter":"2027-02-16","confidence":"high","gate":"G3","sentence":"Listed: DHCS Medi-Cal fee-for-service enrolment file listed Joji James, MD (NPI 1134534571) for Medi-Cal fee-for-service on Oct 19, 2026."},{"id":"ins-molina-medi-cal","value":{"payer":"molina","payerLabel":"Molina Healthcare (Medi-Cal)","line":"medi-cal","products":["HERITAGE PROVIDER NETWORK"],"accepts":true,"setting":"office"},"status":"confirmed","source":"dhcs-mcp-274-listing","asOf":"2026-04-21","checkedAt":"2026-10-22T14:42:02Z","staleAfter":"2026-08-19","confidence":"medium","gate":"G3","sentence":"Listed: DHCS Medi-Cal plan network listing listed Joji James, MD (NPI 1134534571) for Molina Healthcare (Medi-Cal) on Apr 21, 2026. The state file is old; Gale found no newer one.","cautions":["stale"],"staleNote":"The state file is old; Gale found no newer one."},{"id":"ins-medicare-medicare","value":{"payer":"medicare","payerLabel":"Original Medicare","line":"medicare","products":["Medicare Part B"],"accepts":true,"setting":"both"},"status":"confirmed","source":"cms-medicare-clinicians","asOf":"2026-10-02","checkedAt":"2026-10-22T14:36:32Z","staleAfter":"2027-01-30","confidence":"high","gate":"G3","sentence":"Listed: CMS Medicare clinicians file listed Joji James, MD (NPI 1134534571) for Original Medicare on Oct 2, 2026. Gale checked 23 listings in this file by hand on Oct 22, 2026; none were wrong."},{"id":"ins-scan-medi-cal","value":{"payer":"scan","payerLabel":"SCAN Health Plan","line":"medi-cal","products":["Connections"],"accepts":true,"setting":"office"},"status":"confirmed","source":"dhcs-mcp-274-listing","asOf":"2026-04-21","checkedAt":"2026-10-22T14:42:02Z","staleAfter":"2026-08-19","confidence":"medium","gate":"G3","sentence":"Listed: DHCS Medi-Cal plan network listing listed Joji James, MD (NPI 1134534571) for SCAN Health Plan Medi-Cal plans on Apr 21, 2026. The state file is old; Gale found no newer one.","cautions":["stale"],"staleNote":"The state file is old; Gale found no newer one."},{"id":"ins-uhc-commercial","value":{"payer":"uhc","payerLabel":"UnitedHealthcare","line":"commercial","products":["Charter HMO/Charter Balanced HMO/Charter Plus HMO","Charter Plus","Charter/Charter Balanced","Choice","Choice Plus","Choice Plus HMO Premier","Core Essential","Core HMO/Core Essential HMO"],"accepts":true,"setting":"office"},"status":"confirmed","source":"uhc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-20","confidence":"medium","gate":"G3","sentence":"Listed: UnitedHealthcare's directory listed Joji James, MD (NPI 1134534571) for UnitedHealthcare commercial plans on Oct 22, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 6 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-uhc-medicare-advantage","value":{"payer":"uhc","payerLabel":"UnitedHealthcare","line":"medicare-advantage","products":["AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS)","AARP Medicare Advantage Giveback from UHC CA-20 (HMO-POS)","AARP Medicare Advantage Giveback from UHC CA-21 (HMO-POS)","AARP Medicare Advantage Patriot No Rx CA-MA01 (HMO-POS)","AARP Medicare Advantage from UHC CA-0002 (HMO-POS)","AARP Medicare Advantage from UHC CA-0015 (HMO-POS)","AARP Medicare Advantage from UHC CA-0024 (PPO)","AARP Medicare Advantage from UHC CA-004P (HMO-POS)"],"accepts":true,"setting":"office"},"status":"confirmed","source":"uhc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-20","confidence":"medium","gate":"G3","sentence":"Listed: UnitedHealthcare's directory listed Joji James, MD (NPI 1134534571) for UnitedHealthcare Medicare Advantage plans on Oct 22, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 6 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-healthnet-medicare-advantage","value":{"payer":"healthnet","payerLabel":"Wellcare by Health Net","line":"medicare-advantage","products":["CA Medicare Employer Group","Medicare Advantage Risk","SNP MAPD HMO"],"accepts":true,"setting":null},"status":"confirmed","source":"healthnet-fhir-directory","asOf":"2026-10-18","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-16","confidence":"medium","gate":"G3","sentence":"Listed: Health Net's directory listed Joji James, MD (NPI 1134534571) for Wellcare by Health Net Medicare Advantage plans on Oct 18, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 6 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-aetna-commercial","value":{"payer":"aetna","payerLabel":"Aetna","line":"commercial","products":["AHF Choice POS II","AHF HMO","AHF OA MC","AHF Open Access Aetna Select","Aetna Choice POS II","Aetna Open Access Health Network Only","Aetna Select","HF OPEN POS II"],"accepts":null,"setting":null},"status":"inferred","source":"aetna-tic-2026-10","asOf":"2026-10-05","checkedAt":"2026-10-22T17:01:05Z","staleAfter":"2027-04-03","confidence":"low","gate":"G3i","sentence":"Likely: Aetna's price file suggests Aetna pays Joji James, MD (NPI 1134534571) for commercial plans (file of Oct 5, 2026). That is a lead, not a directory listing."},{"id":"ins-anthem-commercial","value":{"payer":"anthem","payerLabel":"Anthem Blue Cross","line":"commercial","products":["CA DIGNITY HEALTH ECHW","CA EPO BLUE CONNECTION","CA EPO HIGH PERFORMANCE","CA EPO HIGH PERFORMANCE FALL-THRU MIX F","CA EPO USC TIER 1","CA HMO ADVANTAGE","CA HMO ADVANTAGE PLUS CC55","CA HMO ADVANTAGE TIER 1"],"accepts":null,"setting":null},"status":"inferred","source":"anthem-tic-2026-10","asOf":"2026-10-01","checkedAt":"2026-10-22T17:01:10Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3i","sentence":"Likely: Anthem Blue Cross's price file suggests Anthem Blue Cross pays Joji James, MD (NPI 1134534571) for commercial plans (file of Oct 1, 2026). That is a lead, not a directory listing."},{"id":"ins-anthem-marketplace","value":{"payer":"anthem","payerLabel":"Anthem Blue Cross","line":"marketplace","products":["CA EPO Pathway","CA HMO Pathway"],"accepts":null,"setting":null},"status":"inferred","source":"anthem-tic-2026-10","asOf":"2026-10-01","checkedAt":"2026-10-22T17:01:10Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3i","sentence":"Likely: Anthem Blue Cross's price file suggests Anthem Blue Cross pays Joji James, MD (NPI 1134534571) for individual and family plans (file of Oct 1, 2026). That is a lead, not a directory listing."},{"id":"ins-anthem-workers-comp","value":{"payer":"anthem","payerLabel":"Anthem Blue Cross","line":"workers-comp","products":["CA WORKERS COMP PERCENTAGE","CA WORKERS COMP WC06","CA WORKERS COMPENSATION"],"accepts":null,"setting":null},"status":"inferred","source":"anthem-tic-2026-10","asOf":"2026-10-01","checkedAt":"2026-10-22T17:01:10Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3i","sentence":"Likely: Anthem Blue Cross's price file suggests Anthem Blue Cross pays Joji James, MD (NPI 1134534571) for workers' compensation (file of Oct 1, 2026). That is a lead, not a directory listing."},{"id":"ins-ahf-medi-cal","value":null,"status":"not-listed","source":"ahf-fhir-directory","asOf":"2026-09-19","checkedAt":"2026-10-22T14:57:40Z","staleAfter":"2027-03-18","confidence":"low","gate":"G3","sentence":"Not listed by AIDS Healthcare Foundation (PHP) Medi-Cal plans for Joji James, MD (NPI 1134534571) in AIDS Healthcare Foundation (PHP)'s directory, file of Sep 19, 2026. That is not a no.","checkedSources":[{"source":"ahf-fhir-directory","asOf":"2026-09-19"}]},{"id":"ins-ahf-medicare-advantage","value":null,"status":"not-listed","source":"ahf-fhir-directory","asOf":"2026-09-15","checkedAt":"2026-10-22T14:57:40Z","staleAfter":"2027-03-14","confidence":"low","gate":"G3","sentence":"Not listed by AIDS Healthcare Foundation (PHP) Medicare Advantage plans for Joji James, MD (NPI 1134534571) in AIDS Healthcare Foundation (PHP)'s directory, file of Sep 15, 2026. That is not a no.","checkedSources":[{"source":"ahf-fhir-directory","asOf":"2026-09-15"}]},{"id":"ins-bsc-medi-cal","value":null,"status":"not-listed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Blue Shield of California Promise Health Plan Medi-Cal plans for Joji James, MD (NPI 1134534571) in Blue Shield of California's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"bsc-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-caloptima-medi-cal","value":null,"status":"not-listed","source":"caloptima-fhir-directory","asOf":"2026-10-11","checkedAt":"2026-10-22T21:38:03Z","staleAfter":"2027-04-09","confidence":"low","gate":"G3","sentence":"Not listed by CalOptima Health Medi-Cal plans for Joji James, MD (NPI 1134534571) in CalOptima Health's directory, file of Oct 11, 2026. That is not a no.","checkedSources":[{"source":"caloptima-fhir-directory","asOf":"2026-10-11"}]},{"id":"ins-calviva-medi-cal","value":null,"status":"not-listed","source":"healthnet-fhir-directory","asOf":"2026-10-21","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-19","confidence":"low","gate":"G3","sentence":"Not listed by CalViva Health Medi-Cal plans for Joji James, MD (NPI 1134534571) in Health Net's directory, file of Oct 21, 2026. That is not a no.","checkedSources":[{"source":"healthnet-fhir-directory","asOf":"2026-10-21"}]},{"id":"ins-ccah-medi-cal","value":null,"status":"not-listed","source":"ccah-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T14:57:43Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Central California Alliance for Health Medi-Cal plans for Joji James, MD (NPI 1134534571) in Central California Alliance for Health's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"ccah-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-goldcoast-medi-cal","value":null,"status":"not-listed","source":"goldcoast-fhir-directory","asOf":"2026-10-09","checkedAt":"2026-10-22T14:57:24Z","staleAfter":"2027-04-07","confidence":"low","gate":"G3","sentence":"Not listed by Gold Coast Health Plan Medi-Cal plans for Joji James, MD (NPI 1134534571) in Gold Coast Health Plan's directory, file of Oct 9, 2026. That is not a no.","checkedSources":[{"source":"goldcoast-fhir-directory","asOf":"2026-10-09"}]},{"id":"ins-healthnet-medi-cal","value":null,"status":"not-listed","source":"healthnet-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Health Net Medi-Cal plans for Joji James, MD (NPI 1134534571) in Health Net's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"healthnet-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-hpsj-medi-cal","value":null,"status":"not-listed","source":"hpsj-fhir-directory","asOf":"2026-10-02","checkedAt":"2026-10-22T21:41:38Z","staleAfter":"2027-03-31","confidence":"low","gate":"G3","sentence":"Not listed by Health Plan of San Joaquin Medi-Cal plans for Joji James, MD (NPI 1134534571) in Health Plan of San Joaquin's directory, file of Oct 2, 2026. That is not a no.","checkedSources":[{"source":"hpsj-fhir-directory","asOf":"2026-10-02"}]},{"id":"ins-iehp-marketplace","value":null,"status":"not-listed","source":"iehp-fhir-directory","asOf":"2026-07-27","checkedAt":"2026-10-22T15:10:17Z","staleAfter":"2027-01-23","confidence":"low","gate":"G3","sentence":"Not listed by Inland Empire Health Plan (IEHP) individual and family plans for Joji James, MD (NPI 1134534571) in Inland Empire Health Plan (IEHP)'s directory, file of Jul 27, 2026. That is not a no.","checkedSources":[{"source":"iehp-fhir-directory","asOf":"2026-07-27"}]},{"id":"ins-kern-medi-cal","value":null,"status":"not-listed","source":"kern-fhir-directory","asOf":"2026-10-09","checkedAt":"2026-10-22T15:04:08Z","staleAfter":"2027-04-07","confidence":"low","gate":"G3","sentence":"Not listed by Kern Family Health Care Medi-Cal plans for Joji James, MD (NPI 1134534571) in Kern Family Health Care's directory, file of Oct 9, 2026. That is not a no.","checkedSources":[{"source":"kern-fhir-directory","asOf":"2026-10-09"}]},{"id":"ins-lacare-medi-cal","value":null,"status":"not-listed","source":"lacare-fhir-directory","asOf":"2026-10-19","checkedAt":"2026-10-22T15:06:55Z","staleAfter":"2027-04-17","confidence":"low","gate":"G3","sentence":"Not listed by L.A. Care Health Plan Medi-Cal plans for Joji James, MD (NPI 1134534571) in L.A. Care Health Plan's directory, file of Oct 19, 2026. That is not a no.","checkedSources":[{"source":"lacare-fhir-directory","asOf":"2026-10-19"}]},{"id":"ins-optum-medicare-advantage","value":null,"status":"not-listed","source":"uhc-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-21","confidence":"low","gate":"G3","sentence":"Not listed by Optum Behavioral Health Medicare Advantage plans for Joji James, MD (NPI 1134534571) in UnitedHealthcare's directory, file of Oct 23, 2026. That is not a no.","checkedSources":[{"source":"uhc-fhir-directory","asOf":"2026-10-23"}]},{"id":"ins-partnership-medi-cal","value":null,"status":"not-listed","source":"partnership-fhir-directory","asOf":"2026-10-16","checkedAt":"2026-10-22T21:38:25Z","staleAfter":"2027-04-14","confidence":"low","gate":"G3","sentence":"Not listed by Partnership HealthPlan of California Medi-Cal plans for Joji James, MD (NPI 1134534571) in Partnership HealthPlan of California's directory, file of Oct 16, 2026. That is not a no.","checkedSources":[{"source":"partnership-fhir-directory","asOf":"2026-10-16"}]},{"id":"ins-sfhp-medi-cal","value":null,"status":"not-listed","source":"sfhp-fhir-directory","asOf":"2026-10-01","checkedAt":"2026-10-22T14:56:20Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3","sentence":"Not listed by San Francisco Health Plan Medi-Cal plans for Joji James, MD (NPI 1134534571) in San Francisco Health Plan's directory, file of Oct 1, 2026. That is not a no.","checkedSources":[{"source":"sfhp-fhir-directory","asOf":"2026-10-01"}]},{"id":"ins-uhc-marketplace","value":null,"status":"not-listed","source":"uhc-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-21","confidence":"low","gate":"G3","sentence":"Not listed by UnitedHealthcare individual and family plans for Joji James, MD (NPI 1134534571) in UnitedHealthcare's directory, file of Oct 23, 2026. That is not a no.","checkedSources":[{"source":"uhc-fhir-directory","asOf":"2026-10-23"}]},{"id":"ins-uhc-medi-cal","value":null,"status":"not-listed","source":"uhc-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-21","confidence":"low","gate":"G3","sentence":"Not listed by UnitedHealthcare Medi-Cal plans for Joji James, MD (NPI 1134534571) in UnitedHealthcare's directory, file of Oct 23, 2026. That is not a no.","checkedSources":[{"source":"uhc-fhir-directory","asOf":"2026-10-23"}]},{"id":"ins-va-va","value":null,"status":"not-listed","source":"uhc-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-21","confidence":"low","gate":"G3","sentence":"Not listed by VA Community Care for Joji James, MD (NPI 1134534571) in UnitedHealthcare's directory, file of Oct 23, 2026. That is not a no.","checkedSources":[{"source":"uhc-fhir-directory","asOf":"2026-10-23"}]}],"coverage":{"state":"CA","covered":true,"checkedAt":"2026-10-23T22:13:50Z"}},"publicRecord":{},"claim":{"claimed":false,"identityConfirmedOn":null},"actions":{"call":"tel:+19098357496","book":null,"payDoor":null,"saveContact":"/npi/1134534571.vcf","intent":null},"hiddenFacts":[],"answers":[{"q":"new-patients","status":"confirmed","answer":"Humana's directory listed Joji James, MD (NPI 1134534571) as taking new patients on Oct 22, 2026.","factIds":["new-patients"]},{"q":"insurance","status":"confirmed","answer":"Listed for Joji James, MD (NPI 1134534571): Ambetter from Health Net, individual and family (Oct 18, 2026); Blue Shield of California, commercial (Oct 22, 2026); Blue Shield of California, individual and family (Oct 22, 2026); Blue Shield of California, Medicare Advantage (Oct 22, 2026); Cigna / Evernorth, commercial (Oct 18, 2026); and 12 more on the page. Each listing names its source and date.","factIds":["ins-healthnet-marketplace","ins-bsc-commercial","ins-bsc-marketplace","ins-bsc-medicare-advantage","ins-cigna-commercial","ins-healthnet-commercial","ins-humana-medicare-advantage","ins-iehp-medi-cal","ins-iehp-medicare-advantage","ins-kaiser-medi-cal","ins-medi-cal-ffs-medi-cal","ins-molina-medi-cal","ins-medicare-medicare","ins-scan-medi-cal","ins-uhc-commercial","ins-uhc-medicare-advantage","ins-healthnet-medicare-advantage"]},{"q":"cost","status":"unknown","answer":"Gale has no record of what a first visit with Joji James, MD (NPI 1134534571) costs. Paying yourself? You can ask for a written Good Faith Estimate before the visit.","factIds":[]},{"q":"video","status":"confirmed","answer":"Blue Shield of California's directory listed Joji James, MD (NPI 1134534571) for video and in-person visits on Oct 22, 2026.","factIds":["video"]},{"q":"where","status":"self-reported","answer":"Joji James, MD (NPI 1134534571) is listed in Colton, CA by the NPPES registry, as of the registry file of Jun 8, 2026.","factIds":["city","state"]},{"q":"who-they-see","status":"unknown","answer":"Gale has no record of who Joji James, MD (NPI 1134534571) sees. Ask the office.","factIds":[]},{"q":"help-with","status":"unknown","answer":"Gale has no record of what Joji James, MD (NPI 1134534571) helps with beyond the registry specialty. Ask the office.","factIds":[]},{"q":"languages","status":"unknown","answer":"Gale has no record of the languages Joji James, MD (NPI 1134534571) speaks. Ask the office.","factIds":[]},{"q":"how-to-book","status":"self-reported","answer":"Call (909) 835-7496, the practice phone the NPPES registry lists for Joji James, MD (NPI 1134534571) (Jun 8, 2026).","factIds":["phone"]},{"q":"next-opening","status":"unknown","answer":"Gale has no record of the next opening for Joji James, MD (NPI 1134534571). Ask the office.","factIds":[]}],"sources":[{"id":"nppes-registry","name":"NPPES registry (CMS)","kind":"registry","asserting":true,"fileDate":"2026-06-08","url":"https://npiregistry.cms.hhs.gov/provider-view/1134534571","handCheck":null},{"id":"aetna-tic-2026-10","name":"Aetna's price file","kind":"price-file","asserting":false,"fileDate":"2026-10-05","url":null,"handCheck":{"wrong":3,"checked":12,"at":"2026-10-22"}},{"id":"ahf-fhir-directory","name":"AIDS Healthcare Foundation (PHP)'s directory","kind":"directory","asserting":true,"fileDate":"2026-09-19","url":null,"handCheck":null},{"id":"anthem-tic-2026-10","name":"Anthem Blue Cross's price file","kind":"price-file","asserting":false,"fileDate":"2026-10-01","url":null,"handCheck":{"wrong":8,"checked":11,"at":"2026-10-22"}},{"id":"bsc-fhir-directory","name":"Blue Shield of California's directory","kind":"directory","asserting":true,"fileDate":"2026-10-22","url":null,"handCheck":{"wrong":23,"checked":60,"at":"2026-10-22"}},{"id":"caloptima-fhir-directory","name":"CalOptima Health's directory","kind":"directory","asserting":true,"fileDate":"2026-10-11","url":null,"handCheck":{"wrong":4,"checked":12,"at":"2026-10-22"}},{"id":"ccah-fhir-directory","name":"Central California Alliance for Health's directory","kind":"directory","asserting":true,"fileDate":"2026-10-22","url":null,"handCheck":null},{"id":"cigna-fhir-directory","name":"Cigna's directory","kind":"directory","asserting":false,"fileDate":"2026-10-22","url":null,"handCheck":{"wrong":3,"checked":51,"at":"2026-10-22"}},{"id":"cms-medicare-clinicians","name":"CMS Medicare clinicians file","kind":"cms-file","asserting":true,"fileDate":"2026-10-02","url":null,"handCheck":{"wrong":0,"checked":23,"at":"2026-10-22"}},{"id":"dhcs-ffs-enrolled-2026-10-19","name":"DHCS Medi-Cal fee-for-service enrolment file","kind":"state-file","asserting":true,"fileDate":"2026-10-19","url":null,"handCheck":null},{"id":"dhcs-mcp-274-listing","name":"DHCS Medi-Cal plan network listing","kind":"state-file","asserting":true,"fileDate":"2026-04-21","url":null,"handCheck":null},{"id":"goldcoast-fhir-directory","name":"Gold Coast Health Plan's directory","kind":"directory","asserting":true,"fileDate":"2026-10-09","url":null,"handCheck":null},{"id":"healthnet-fhir-directory","name":"Health Net's directory","kind":"directory","asserting":true,"fileDate":"2026-10-22","url":null,"handCheck":{"wrong":6,"checked":12,"at":"2026-10-22"}},{"id":"hpsj-fhir-directory","name":"Health Plan of San Joaquin's directory","kind":"directory","asserting":true,"fileDate":"2026-10-02","url":null,"handCheck":null},{"id":"humana-fhir-directory","name":"Humana's directory","kind":"directory","asserting":true,"fileDate":"2026-10-23","url":null,"handCheck":null},{"id":"iehp-fhir-directory","name":"Inland Empire Health Plan (IEHP)'s directory","kind":"directory","asserting":true,"fileDate":"2026-10-16","url":null,"handCheck":{"wrong":4,"checked":12,"at":"2026-10-22"}},{"id":"kern-fhir-directory","name":"Kern Family Health Care's directory","kind":"directory","asserting":true,"fileDate":"2026-10-09","url":null,"handCheck":null},{"id":"lacare-fhir-directory","name":"L.A. Care Health Plan's directory","kind":"directory","asserting":true,"fileDate":"2026-10-19","url":null,"handCheck":{"wrong":4,"checked":12,"at":"2026-10-22"}},{"id":"partnership-fhir-directory","name":"Partnership HealthPlan of California's directory","kind":"directory","asserting":true,"fileDate":"2026-10-16","url":null,"handCheck":null},{"id":"sfhp-fhir-directory","name":"San Francisco Health Plan's directory","kind":"directory","asserting":true,"fileDate":"2026-10-01","url":null,"handCheck":null},{"id":"uhc-fhir-directory","name":"UnitedHealthcare's directory","kind":"directory","asserting":true,"fileDate":"2026-10-23","url":null,"handCheck":{"wrong":6,"checked":12,"at":"2026-10-22"}}],"terms":"https://www.gale.care/agents#terms","about":{"status":"How each fact is known. confirmed = Listed: a named directory, CMS file or state file lists it. inferred = Likely: a price file suggests it; a likely match is a lead, not a listing. self-reported: the clinician said it, to the NPPES registry or on Gale. not-listed: a source that lists every clinician it covers was read and does not list this one; that is not a no. unknown: no record; ask the office.","sentence":"The fact in one sentence that names the clinician, the NPI, the source and the date. It starts with the status word. Quote it whole.","asOf":"The date the source gives this record (YYYY-MM-DD). It is not the date of the event the record describes: an opt-out states its own start and end dates in its sentence.","checkedAt":"When Gale last read the source.","staleAfter":"After this date the fact keeps its status word and date, and staleNote says the record is old; later still it is dropped. A fact from a full CMS or state file the publisher has not replaced stays, marked stale, for as long as that file is the newest one, and its staleNote says Gale found no newer file.","staleNote":"On a fact past its fresh window only: the record's age, as its own sentence (\"The state file is old; Gale found no newer one.\"). It never changes the status.","confidence":"How far Gale trusts the source, measured on the source (high, medium, low, none). Never a judgment of the clinician.","cautions":"hand-check: Gale checked a sample of this source by hand and found errors (sources[].handCheck has the numbers). conflict: another source disagrees (see conflict). stale: the record is past its fresh window. A caution never changes the status.","gate":"The publication switch that lets this kind of fact show. It says nothing about the clinician.","checkedSources":"For a not-listed fact: each source that was read, with its date.","insurance.rows[].value":"payer is a short id for the plan and payerLabel its name. line is the kind of plan: commercial, marketplace (individual and family), medicare, medicare-advantage, medi-cal, tricare, va, workers-comp. accepts is true on a listing and false only on a dated refusal (a directory's \"not accepting\" or an opt-out), never from absence; on a lead (status inferred) it is null, because a price file never says a clinician accepts a plan. optOut, on an Original Medicare opt-out, is the opt-out's own start and end dates (from, to) from CMS's opt-out list. setting is where the listing says care happens (office, virtual, both), or null when the source does not say.","insurance.coverage":"covered: whether Gale read the insurance files for this state; checkedAt: when it last did.","sources[].kind":"registry: the NPPES registry. cms-file, state-file: government files. directory: an insurer's directory. price-file: an insurer's published rates, which give leads only. gale: Gale's booking system. clinician: the clinician on Gale.","sources[].fileDate":"The date of the source file Gale read.","sources[].handCheck":"Gale's hand check of the source: checked is how many of its entries Gale checked by hand, wrong how many of those were wrong, at the date of the check. It describes the source, not this clinician.","sources[].asserting":"true when the source lists every clinician it covers, so its silence can support a not-listed fact. Only such sources ever do.","factsHash":"Changes only when a fact changes, never on a re-check.","index.basis":"Why the page is or is not indexed. index-all: indexed. Anything else: not indexed, and no reason about the clinician is given.","exportId":"The data export the facts come from.","hiddenFacts":"Facts withheld because someone disputed them. No reason is given."}}