NPIMap

Individual provider Active NPI

Jhujhar Singh, DO

  • General Practice Physician
  • Montclair, CA
National Provider Identifier
1730361544
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20A10159 Issued in CA
Practice address
4959 Palo Verde St
Ste 206a-5
Montclair, CA 91763-2342
Phone
(909) 694-4016
Fax
(909) 920-3344
NPI assigned
Dec 4, 2007
Last updated
Jan 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 20A10159 CA Primary

Addresses

Primary practice location

4959 Palo Verde St
Ste 206a-5
Montclair, CA 91763-2342

Mailing address

4959 Palo Verde St
Ste 206a-5
Montclair, CA 91763-2342
Phone (909) 694-4016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080407000241 CA Practitioner - Geriatric MedicinePractitioner - Family Practice 1254418817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Medical GroupGroup PAC ID 0042622441, 6 clinicians

Practice addresses (Care Compare)

1350 W Covina Blvd
San Dimas, CA 91773-3245
Phone (909) 694-4016

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A10159CAMDGeneral Practice Physician
10159CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Medical Group CurrentSince May 14, 2022 Accepting new patients
Southern California Hospitalist Network Medical Group Inc CurrentSince Nov 15, 2017 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients

Locations

4959 Palo Verde St
Ste 206A-5
Montclair, CA 91763
Phone (909) 694-4016

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rancho Mesa Care CenterAlta Loma, CA, CCN 555521 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 17, 2024
Dec 17, 2024
Garden View Post Acute RehabilitationBaldwin Park, CA, CCN 055187 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Feb 1, 2025
Feb 1, 2025
Feb 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1730361544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "STE 206A-5",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632342",
            "telephone_number": "909-694-4016",
            "fax_number": "909-920-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "STE 206A-5",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632342",
            "telephone_number": "909-694-4016",
            "fax_number": "909-920-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "JHUJHAR",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A10159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

Verify at the official NPI Registry.