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KANAN MODI MD INC
NPI 1700210762
Pediatrics in San Dimas, CA

Active since August 27, 2013
1305 W ARROW HWY STE 104, SAN DIMAS, CA 91773(909) 394-9004(909) 394-9461 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kanan Modi Md Inc NPPES

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

KANAN MODI MD INC (NPI 1700210762) is a healthcare organization registered as a pediatrics in San Dimas, California and active in the NPI registry since August 2013. The organization lists Kanan Modi, Owner, as its authorized official.

NPPES Registry Identity

NPI1700210762
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKANAN MODI MD INC
Location Address1305 W ARROW HWY STE 104San Dimas, CA 91773-2337
Mailing Address1305 W Arrow Hwy Ste 104San Dimas, CA 91773-2337 · (909) 394-9004 · Fax (909) 394-9461
Phone(909) 394-9004
Fax(909) 394-9461
Organization SubpartNo
Authorized OfficialKanan ModiOwner · (909) 394-9004
Enumeration DateAugust 27, 2013
✔ NPI 1700210762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1305 W ARROW HWY STE 104, San Dimas, CA 91773
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Other Identifiers 1

Medicaid1881704898CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

SHOBA RAO M.D.
Pediatrics
1305 W ARROW HWY STE 104
SAN DIMAS, CA 91773
Los Angeles County (909) 394-9004
DR. KANAN MODI M.D.
Pediatrics
1305 W ARROW HWY STE 104
SAN DIMAS, CA 91773
Los Angeles County (909) 967-7826

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kanan Modi MD Inc's NPI number?

The NPI number for Kanan Modi MD Inc is 1700210762. It was assigned to this organization in the NPPES registry on August 27, 2013.

Where is Kanan Modi MD Inc located?

Kanan Modi MD Inc is located at 1305 W Arrow Hwy Ste 104, San Dimas, CA 91773. The listed phone number is (909) 394-9004.

What is Kanan Modi MD Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kanan Modi MD Inc was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.