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GERALD LERAY NISSEN D.C.
NPI 1720018435
Radiologic Technologist - Radiography in Mojave, CA

Active since July 05, 2006
16916 STATE HIGHWAY 14, MOJAVE, CA 93501(661) 824-9732(661) 824-1638 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gerald Leray Nissen D.c. NPPES

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

GERALD LERAY NISSEN D.C. (NPI 1720018435) is an individual radiography provider in Mojave, California, licensed in California (RHC126137) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1720018435
Entity TypeIndividualMale
Primary Taxonomy2471C3402X
Provider Legal NameGERALD LERAY NISSENCredential: D.C.
Location Address16916 STATE HIGHWAY 14Mojave, CA 93501-1226
Mailing Address16916 State Highway 14Mojave, CA 93501-1226 · (661) 824-9732 · Fax (661) 824-1638
Phone(661) 824-9732
Fax(661) 824-1638
Sole ProprietorYes
Enumeration DateJuly 5, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1720018435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiologic Technologist · RadiographyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471C3402X
License✔ Licensed in CA · RHC126137
Definition
A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.
Also ListedChiropractor · RadiologyTaxonomy 111NR0200X · License DC16780 (CA)

Other Providers at the Same Location NPPES

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

NISSEN CHIROPRACTIC A P C
Chiropractor (Radiology)
16916 STATE HIGHWAY 14
MOJAVE, CA 93501
Kern County (661) 824-9732

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 Gerald Nissen's NPI number?

The NPI number for Gerald Nissen is 1720018435. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Gerald Nissen located?

Gerald Nissen practices at 16916 State Highway 14, Mojave, CA 93501. The listed phone number is (661) 824-9732.

What is Gerald Nissen's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Radiography, with taxonomy code 2471C3402X.

When was this NPI record last updated?

The NPPES record for Gerald Nissen was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.