Active NPI
Mohinder S Nijjar MD Inc
- Orthopaedic Surgery Physician
- Modesto, CA
National Provider Identifier
1700932084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A36057
- Legal business name
- MOHINDER S NIJJAR MD INC
- Doing business as
- Professional Corp Mohinder S Nijjar MD Inc
- Practice address
- 1400 Florida Ave
Suite 8
Modesto, CA 95350-4446 - Phone
- (800) 245-7899
- Fax
- (209) 545-3355
- NPI assigned
- Jan 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohinder Nijjar, MD
- Title
- Owner Dba
- Phone
- (209) 531-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A36057 | CA | Primary |
Addresses
Primary practice location
1400 Florida Ave
Suite 8
Modesto, CA 95350-4446
Mailing address
PO Box 576568
Modesto, CA 95357-6568
Phone (209) 531-3600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A36057 | Other | CA | MEDICAL PRACTICE |
| A36057 | Other | CA | CAILIC NUMBER |
Other names 1
- Professional Corp Mohinder S Nijjar MD Inc
National Provider Directory
National Provider DirectoryLocations
1400 Florida Ave
Ste 8
Modesto, CA 95350
Phone (800) 245-7899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1700932084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 576568",
"city": "MODESTO",
"state": "CA",
"postal_code": "953576568",
"telephone_number": "209-531-3600",
"fax_number": "209-545-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 FLORIDA AVE",
"address_2": "SUITE 8",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504446",
"telephone_number": "800-245-7899",
"fax_number": "209-545-3355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHINDER S NIJJAR MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-26",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "NIJJAR",
"authorized_official_first_name": "MOHINDER",
"authorized_official_title_or_position": "OWNER DBA",
"authorized_official_telephone_number": "209-531-3600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A36057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PRACTICE",
"identifier": "A36057",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAILIC NUMBER",
"identifier": "A36057",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Professional Corp Mohinder S Nijjar MD Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.