Individual provider · Type 1 NPI

Jagmohan Ghotra, NP

Nurse Practitioner · Modesto, CA

NPI number 1689032815 Active

Practice location

1608 Tully Rd
Modesto, CA 95350-4031

Call (209) 849-6543 Map

Fax (209) 422-3776

Mailing address

26024 Ohara Ln
303 Starr Ave, CA 95380

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95003867 (CA)

Nurse Practitioner: (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 wit…

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About NPI 1689032815

Jagmohan Ghotra, NP's National Provider Identifier is 1689032815, issued on Feb 2, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Modesto, CA. The record was last updated on Mar 24, 2026.