Individual provider Active NPI

Jagmohan Thiara

  • Family Nurse Practitioner
  • Yuba City, CA
National Provider Identifier
1073855714
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21948 Issued in CA
Practice address
1531 Plumas CT Ste B-D
Yuba City, CA 95991-2966
Phone
(530) 751-1900
Fax
(530) 751-4901
NPI assigned
Mar 20, 2013
Last updated
Apr 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 21948 CA
Family Nurse Practitioner 363LF0000X 21948 CA Primary

Addresses

Primary practice location

1531 Plumas CT Ste B-D
Yuba City, CA 95991-2966

Mailing address

1130 4TH Ave
Rio Oso, CA 95674-9656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130614000104 CA Practitioner - Nurse Practitioner 2163661521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ampla HealthGroup PAC ID 5092619270, 105 clinicians

Practice addresses (Care Compare)

1000 Sutter St
Yuba City, CA 95991-3504
Phone (530) 673-9420

355 Samuel Dr
Yuba City, CA 95991-6324
Phone (530) 674-9200

4941 Olivehurst Ave
Olivehurst, CA 95961-4225
Phone (530) 743-4611

931 Market St
Yuba City, CA 95991-4210
Phone (530) 671-8820

935 Market St
A
Yuba City, CA 95991-4217

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ampla Health CurrentSince Oct 6, 2020 Accepting new patients
Ampla Health CurrentSince Oct 6, 2020 Accepting new patients
Ampla Health Current Accepting new patients

Locations

680 Cohasset Rd
Chico, CA 95926
Phone (530) 342-4395

4941 Olivehurst Ave
Olivehurst, CA 95961
Phone (530) 743-4611

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

1000 Sutter St
Yuba City, CA 95991
Phone (530) 673-9420

935 Market St
Yuba City, CA 95991
Phone (530) 674-4261

Interoperability endpoints

  • Direct secure messaging: jagmohan.thiara@ampla.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1073855714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 4TH AVE",
            "city": "RIO OSO",
            "state": "CA",
            "postal_code": "956749656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 PLUMAS CT STE B-D",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912966",
            "telephone_number": "530-751-1900",
            "fax_number": "530-751-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIARA",
        "first_name": "JAGMOHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "21948",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.