DR. KANAN MODI (NPI# 1881704898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881704898 |
| Entity Type | Individual |
| Full Name | DR. KANAN MODI |
| Credential | M.D. |
| Practice Address |
1305 W Arrow Hwy Ste 104 San Dimas CA 91773-2337 |
| Mailing Address |
1305 W Arrow Hwy 104 San Dimas CA 91773-2336 |
| Practice Telephone | 9099677826 |
| Practice Fax Number | 9093949461 |
| Mailing Telephone | 9093949004 |
| Mailing Fax Number | 9093949461 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A38793 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | A38793 | 01 |
| CA | 00A387930 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15888 Main St Ste 112b, Hesperia, CA 923453467 | 7609482242 |
| Street Address |
1305 W ARROW HWY STE 104 |
| City | SAN DIMAS |
| State | CA |
| Zip Code | 91773-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700210762 | Kanan Modi Md Inc | Pediatrics | 1305 W Arrow Hwy Ste 104, San Dimas, CA 91773-2337 | 2013-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533114 | Bonita Counseling Center | Marriage & Family Therapist | 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 | 2020-09-16 |
| 1457824419 | Georgina Almaraz | Case Manager/Care Coordinator | 677 Cliffside Dr Ste 677, San Dimas, CA 91773 | 2019-01-02 |
| 1922581560 | Readirides, Inc. | Non-emergency Medical Transport (VAN) | 451 W Bonita Ave Ste 14, San Dimas, CA 91773 | 2018-09-10 |
| 1710468376 | Marianne Shehata | Dentist | 925 Avenida Loma Vista, San Dimas, CA 91773 | 2018-08-22 |
| 1750875738 | Compassionate Hearts Home Health, Inc. | Home Health | 237 W Bonita Ave Ste F, San Dimas, CA 91773 | 2018-06-21 |
| 1548786056 | Era Life Care | Home Health | 1109 W San Bernardino Rd Suite 110, Covina, CA 91773 | 2017-08-16 |
| 1700302569 | Melanie Sabrina Schmuck | Physical Therapist | 1301 West Arrow Highway, Suite 130, San Dimas, CA 91773 | 2017-08-14 |
| 1811410111 | Nicole Geraldine Skinner | Social Worker | 762 W Cypress St, San Dimas, CA 91773 | 2017-07-19 |
| 1245760842 | Caren Senn | Dietitian, Registered | 917 Laramie Drive, San Dimas, CA 91773 | 2017-06-15 |
| 1417485020 | Young Mi Kim | Acupuncturist | 1121 Via Verde, San Dimas, CA 91773 | 2017-05-25 |
| Find all providers in zip 91773 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487714143 | Rebecca J. Tkach | Specialist | 121 E Bonita Ave, San Dimas, CA 91773-3004 | 2006-12-11 |
| 1659395754 | Syed Arif Ali Rizvi | Specialist | 1335 Cypress Street, Suite 205, San Dimas, CA 91773-3538 | 2006-07-26 |
| 1033115688 | Clifford L. Sussman | Specialist | 150 W. Foothill Blvd, San Dimas, CA 91773-1102 | 2005-06-27 |
| 1467457390 | Richard A Williams | Specialist | 1334 W Covina Blvd, Ste 102, San Dimas, CA 91773-3211 | 2005-06-16 |
| 1518429653 | Nader Kalantar, M.d., Inc. | Specialist | 1334 W Covina Blvd Ste 201, San Dimas, CA 91773-3211 | 2019-04-05 |
| 1629143615 | Leon Bachoura, M.d., Inc. | Specialist | 1334 W Covina Blvd, Suite 201, San Dimas, CA 91773-3211 | 2006-11-22 |
| 1558377523 | Aamir Zain Jamal | Specialist | 1335 Cypress Street, Suite 205, San Dimas, CA 91773-3538 | 2006-07-31 |
| 1477514057 | Zuhair O Yahya | Specialist | 1334 W Covina Blvd, 202, San Dimas, CA 91773-3211 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113072 | Jonalyn Coronel | Specialist | 653 Canyon Rd, Novato, CA 94947-4331 | 2020-10-28 |
| 1497353239 | Nadia Nodoust-christensen | Specialist | 1627 Curtis Ave, Manhattan Beach, CA 90266-7022 | 2020-10-14 |
| 1073111936 | Griffin Nutrition Xterem | Specialist | 21575 Dome Trl, Topanga, CA 90290-3645 | 2020-10-13 |
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KANAN MODI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.