Provider Demographics
NPI:1881607695
Name:KANG, JASBIR SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:JASBIR
Middle Name:SINGH
Last Name:KANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:481 PLUMAS BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-5075
Mailing Address - Country:US
Mailing Address - Phone:530-674-2434
Mailing Address - Fax:530-674-2704
Practice Address - Street 1:481 PLUMAS BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-5075
Practice Address - Country:US
Practice Address - Phone:530-674-2434
Practice Address - Fax:530-674-2704
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA46605207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABU991WOtherMEDICARE PTAN - JASBIR KANG MD & SANJIV MIDHA MED A MEDICAL CORPORATION
CABU991XOtherMEDICARE PTAN - N VALLEY CRITICAL CARE GROUP INC.
CABU991VOtherMEDICARE PTAN - RIDEOUT MEMORIAL HOSPITAL
CA00A466054OtherMEDICARE PTAN - THREE RIVERS MEDICAL GROUP
CABU991YOtherMEDICARE PTAN - YUBA SUTTER HOSPITALISTS GROUP
CA05D2036012OtherCLIA FEDERAL ID#
CA1881607695Medicaid
CABU991ZOtherMEDICARE PTAN - YUBA CITY PRIMARY CARE & DIABETES 2 CLINIC INC.
CA00A466050OtherBLUE SHIELD PIN #
CA1881607695Medicaid