Healthcare Provider Details

I. General information

NPI: 1831721372
Provider Name (Legal Business Name): JIGAR KADAKIA MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2020
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

844 MAGNOLIA AVE APT 5
PASADENA CA
91106-4611
US

IV. Provider business mailing address

844 MAGNOLIA AVE APT 5
PASADENA CA
91106-4611
US

V. Phone/Fax

Practice location:
  • Phone: 626-314-3687
  • Fax:
Mailing address:
  • Phone: 626-314-3687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. JIGAR KADAKIA
Title or Position: PRESIDENT
Credential: MD
Phone: 310-626-5954