Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JAGDISH SINGH NIJJAR FNP-C
NPI 1104418417
Nurse Practitioner in Stockton, CA

Q: What is Jagdish Nijjar's NPI number?

The NPI number for Jagdish Nijjar is 1104418417. It was assigned to this individual provider in the NPPES registry on February 8, 2021.

Q: What is Jagdish Nijjar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jagdish Nijjar was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 08, 2021PECOS Enrolled

582 E HARDING WAY, STOCKTON, CA 95204(844) 226-9193 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2026, Mar 8, 2021, Feb 8, 2021 (3 updates tracked since 2021).

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About Mr. Jagdish Singh Nijjar Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAGDISH SINGH NIJJAR FNP-C (NPI 1104418417) is an individual nurse practitioner in Stockton, California, licensed in California (95014232) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1104418417

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. JAGDISH SINGH NIJJARCredential: FNP-C

Location Address582 E HARDING WAYStockton, CA 95204-6110

Mailing Address582 E Harding WayStockton, CA 95204-6110 · (844) 226-9193

Phone(844) 226-9193

Sole ProprietorYes

Enumeration DateFebruary 8, 2021

Last NPPES UpdateJuly 17, 20263 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1104418417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95014232

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

582 E HARDING WAY, Stockton, CA 95204

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Secondary Practice Location 1

Location 1539 N Van Ness AveFresno, CA 93728-3419 · Phone (559) 266-9581

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jagdish Singh Nijjar Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAYA JUSTINA-ELIA RAMIREZ MSW

Social Worker (Clinical)