Active NPI
Harinder Jhatu, PA
- Physician Assistant
- Modesto, CA
National Provider Identifier
1194151704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA23215
- Practice address
- 2218 W Whitmore Ave
Modesto, CA 95358-9497 - Phone
- (209) 818-3414
- NPI assigned
- Sep 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA23215 | CA | Primary |
Addresses
Primary practice location
2218 W Whitmore Ave
Modesto, CA 95358-9497
Mailing address
2218 W Whitmore Ave
Modesto, CA 95358-9497
Phone (209) 818-3414
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23215 | CA | MD | Pediatric Occupational Therapist |
| PA23215 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Urgent Care Inc. | Current | Accepting new patients | |
| Cep America - California | Past | Accepting new patients |
Locations
2519 E Whitmore Ave
Ceres, CA 95307
Phone (209) 537-4700
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.
-
- Urgent Care Clinic/Center
- Ceres, CA
- NPI 1427441286
-
- Emergency Medicine Physician
- Modesto, CA
- NPI 1639124167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1194151704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2218 W WHITMORE AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953589497",
"telephone_number": "209-818-3414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2218 W WHITMORE AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953589497",
"telephone_number": "209-818-3414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JHATU",
"first_name": "HARINDER",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-16",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA23215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.