Individual provider Active NPI

Jasdave S. Maan, MD

  • Internal Medicine Physician
  • Mendota, CA
National Provider Identifier
1942829791
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A184201 Issued in CA
Practice address
121 Belmont Ave Ste 100
Mendota, CA 93640-8231
Phone
(559) 424-0160
Fax
(559) 424-0611
NPI assigned
Apr 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A184201 CA Primary

Addresses

Primary practice location

121 Belmont Ave Ste 100
Mendota, CA 93640-8231

Mailing address

1660 E Herndon Ave Ste 101
Fresno, CA 93720-3346
Phone (559) 424-0610

Other practice location 1

1210 E Almond Ave
Madera, CA 93637-5606
Phone (559) 507-8000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230620002475 CA Practitioner - Internal Medicine 1355709528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Specialty Physicians Group Inc 99 clinicians

Practice addresses (Care Compare)

173 E Webster St
Colusa, CA 95932-2949
Phone (209) 287-6308

Hospital & facility affiliations

  • Madera Community Hospital Hospital, Madera, CA, CCN 050856

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A184201CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arya Medical Group Corp Internal Medicine CurrentSince Jun 10, 2023 Accepting new patients
Arya Medical Group Corp CurrentSince Jun 10, 2023 Accepting new patients
American Specialty Physicians Group Inc Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients

Locations

151 E Webster St
Ste B
Colusa, CA 95932
Phone (209) 287-6308

1660 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (559) 424-0610

6125 N Fresno St
Fresno, CA 93710
Phone (559) 285-9344

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

1250 E Almond Ave
Madera, CA 93637
Phone (559) 675-5501

121 Belmont Ave
Ste 100
Mendota, CA 93640
Phone (559) 424-0610

700 17th St
Ste 205
Modesto, CA 95354
Phone (209) 248-7851

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1942829791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 E HERNDON AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203346",
            "telephone_number": "559-424-0610",
            "fax_number": "559-424-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BELMONT AVE STE 100",
            "city": "MENDOTA",
            "state": "CA",
            "postal_code": "936408231",
            "telephone_number": "559-424-0160",
            "fax_number": "559-424-0611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 E Almond Ave",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936375606",
            "country_code": "US",
            "telephone_number": "559-507-8000",
            "fax_number": "559-479-4167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAAN",
        "first_name": "JASDAVE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-12",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A184201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendota, CA

Sources for this page

Verify at the official NPI Registry.