Jagmohan Ghotra, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95003867 Issued in CA

Practice address

1608 Tully Rd
Modesto, CA 95350-4031

Phone

(209) 849-6543

Fax

(209) 422-3776

NPI assigned

Feb 2, 2016

Last updated

Mar 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harbor Wound Care P CGroup PAC ID 0042704504, 29 clinicians

Community Health Centers of AmericaGroup PAC ID 3476813460, 112 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• United Home Health Home health agency, Manteca, CA, CCN 757411
• Dignity Home Health Care Home health agency, Fresno, CA, CCN 559417
• A Caring Life Home Health, Inc. Home health agency, Tracy, CA, CCN 559629

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Community Health Centers of America

  • Federally Qualified Health Center (FQHC)
  • Mariposa, CA
  • NPI 1891207684
  Medicare reassignment Care Compare group NPD
• Harbor Wound Care P.C.

  • General Practice Physician
  • Colton, CA
  • NPI 1427922392
  Medicare reassignment Care Compare group NPD
• JKG Nursing, Inc

  dba JKG Health Services

  • Family Medicine Physician
  • North Hills, CA
  • NPI 1255128252
  Medicare reassignment NPD Authorized official
• American Specialty Physicians Group Inc

  • Emergency Medicine Physician
  • Modesto, CA
  • NPI 1568992923
  Medicare reassignment NPD
• Anousheh Ashouri MD Inc

  • Hospitalist Physician
  • Irvine, CA
  • NPI 1528879244
  Medicare reassignment NPD
• California Mobile Doctors Group Inc

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1427672385
  Medicare reassignment NPD
• Endeavors Practice Management, Inc.

  • Primary Care Nurse Practitioner
  • Winnetka, CA
  • NPI 1750855862
  Medicare reassignment NPD
• Healpoint Medical, Apc

  • Surgery Physician
  • Fresno, CA
  • NPI 1407745722
  Medicare reassignment NPD
• Integrated Allied Medical Group

  • Family Medicine Physician
  • Burbank, CA
  • NPI 1649970740
  Medicare reassignment NPD
• LB Hendricks Medical Services Inc

  dba Kindly Wound Physicians

  • Surgery Physician
  • Santa Clarita, CA
  • NPI 1366083842
  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment NPD
• Physicians and Surgeons Home Care Inc

  dba Physicians and Surgeons Wound Care

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1184105231
  Medicare reassignment

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

• A Caring Life Home Health Inc.

  • Home Health Agency
  • Tracy, CA
  • NPI 1851924286
  Care Compare affiliation
• Dignity Home Health Care

  • Home Health Agency
  • Fresno, CA
  • NPI 1467017061
  Care Compare affiliation
• United Home Health Group, Inc.

  dba united home health

  • Home Health Agency
  • Manteca, CA
  • NPI 1700559077
  Care Compare affiliation

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1689032815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26024 OHARA LN",
            "city": "303 STARR AVE",
            "state": "CA",
            "postal_code": "95380",
            "telephone_number": "661-877-6211",
            "fax_number": "209-422-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 TULLY RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504031",
            "telephone_number": "209-849-6543",
            "fax_number": "209-422-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOTRA",
        "first_name": "JAGMOHAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95003867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheman Ghatineh
• GHC of Modesto, LLC (English Oaks Convalescent & Rehabilitation Center)
• Basel Gheith
• Ahmad Ghobadi
• Saif Ashfaq Ghole, M.D.
• Ambrish Singh Ghumman, M.D.
• Nataliya Giagou, M.D.
• Jennifer Rose Giambelluca
• Jeffrey Gianelli, LCSW
• Eric Le Giang, D.O.

• Nurse Practitioner in Modesto, CA
• Providers in Modesto, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.