Active NPI
Jasdip Singh
- Student in an Organized Health Care Education/Training Program
- Modesto, CA
National Provider Identifier
1821802083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1700 Coffee Rd
Modesto, CA 95355-2803 - Phone
- (209) 572-7095
- NPI assigned
- Feb 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1700 Coffee Rd
Modesto, CA 95355-2803
Mailing address
1700 Coffee Rd
Modesto, CA 95355-2803
Other practice location 1
306 Liberty View Ln
Lynchburg, VA 24502-2291
Phone (434) 592-6400
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251210001861 | CA | Order and Referring Only - Family Practice | 4587158258 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1821802083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 COFFEE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 COFFEE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552803",
"telephone_number": "209-572-7095"
}
],
"practiceLocations": [
{
"address_1": "306 Liberty View Ln",
"address_purpose": "LOCATION",
"city": "Lynchburg",
"state": "VA",
"postal_code": "245022291",
"country_code": "US",
"telephone_number": "434-592-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SINGH",
"first_name": "JASDIP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-06",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 26, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.