Jamal Modir, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Practice address

2505 Samaritan Dr
301
San Jose, CA 95124

Phone

(408) 358-1933

Fax

(408) 358-4212

NPI assigned

Oct 25, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1336223270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "301",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "408-358-1933",
            "fax_number": "408-358-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "301",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "408-358-1933",
            "fax_number": "408-358-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODIR",
        "first_name": "JAMAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern Chinese Medicine
• Modern CM Healthcare Foundation
• Modern Oriental Medicine and Acupuncture Inc
• Modern Sleep Physicians of California (Modern Sleep Health)
• Modesto Radiological Medical Group, Inc
• Anuja A Mody, NP
• Karan Mody
• Viriya Moeun, HIGH SCHOOL DIPLOMA
• Molly Moffat
• Lauri B.a. Moffatt, RD,SLP, MA, CCC

• Colon & Rectal Surgery Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Colon & Rectal Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.