Jasvant N. Modi, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A39818 Issued in CA

Legal business name

JASVANT N. MODI, M.D., INC.

Practice address

711 N Alvarado St Ste 112
Los Angeles, CA 90026-4016

Phone

(213) 483-3535

Fax

(213) 250-5682

NPI assigned

Nov 9, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Angie Sanchez

Title

Manager

Phone

(213) 250-3716

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1972830115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W SUNSET BLVD STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121217",
            "telephone_number": "213-250-3716",
            "fax_number": "213-250-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N ALVARADO ST STE 112",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264016",
            "telephone_number": "213-483-3535",
            "fax_number": "213-250-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASVANT N. MODI, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-250-3716",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A39818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A398180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guadalupe Jasso
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• Justin Jasso
• Sonia Jasuja
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• Jessica Kaur Jaswal
• Courtney Jatan
• Ana Cecilia Jauregui Gallardo
• Jonathan Jauregui-Garcia
• Alejandra Jauregui

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.