Provider Demographics
NPI:1952459869
Name:MOMI, JASMINDER SINGH (MD)
Entity Type:Individual
Prefix:
First Name:JASMINDER
Middle Name:SINGH
Last Name:MOMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 PLUMAS CT
Mailing Address - Street 2:STE B
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-2971
Mailing Address - Country:US
Mailing Address - Phone:530-822-5575
Mailing Address - Fax:530-822-5585
Practice Address - Street 1:1525 PLUMAS CT
Practice Address - Street 2:STE B
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-2971
Practice Address - Country:US
Practice Address - Phone:530-822-5575
Practice Address - Fax:530-822-5585
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88059207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1952459869Medicaid
CAP00886051OtherMEDICARE RAILROAD PTAN
CA1952459869Medicaid