JKG Nursing, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JKG NURSING, INC

Practice address

15722 Vincennes St
North Hills, CA 91343-3166

Phone

(209) 849-6543

NPI assigned

Apr 22, 2025

Organization subpart

No

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

Authorized official

Name

Jagmohan Ghotra, DNPNPI 1689032815

Title

President & Ceo

Phone

(209) 849-6543

Specialties & licenses 2

Addresses

Other names 1

• JKG Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jagmohan Ghotra, NP

  • Nurse Practitioner
  • Modesto, CA
  • NPI 1689032815
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1255128252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25044 PEACHLAND AVE STE 110",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913215730",
            "telephone_number": "818-636-6749",
            "fax_number": "818-356-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15722 VINCENNES ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433166",
            "telephone_number": "209-849-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKG NURSING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "GHOTRA",
        "authorized_official_first_name": "JAGMOHAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "209-849-6543",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JKG Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jihey Jeong, DDS
• Evelyn Jimenez
• Jennifer Jimenez
• Kimberly Jimenez
• Jirair Gasparian Dental Corporation
• Jamall Johnson
• Kyle Johnson
• Shelia A Johnson, NP
• Benjamin Belarmino Joseph
• JPKG LLC

• Family Medicine Physician in North Hills, CA
• Providers in North Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.