Doctor profile · Federal record
Dr. Kanan Modi, M.D.
Pediatrics Physician · Specialist · San Dimas, CA
- NPI 1881704898
- 20 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1305 W Arrow Hwy Ste 104
San Dimas, CA 917732337
(909) 967-7826
fax (909) 394-9461 - Additional location
-
15888 Main St Ste 112B
Hesperia, CA 923453467
(760) 948-2242 - Mailing address
-
1305 W Arrow Hwy, 104
San Dimas, CA 917732336
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- February 1, 2024
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- California #A38793
- Medicaid
- CA #00A387930
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1881704898. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$26
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GlaxoSmithKline, LLC. | 1 | $26.49 |
By nature of payment
Frequently asked questions
What is Dr. Kanan Modi's medical specialty?
Dr. Kanan Modi practices Pediatrics Physician in San Dimas, CA.
Where does Dr. Kanan Modi practice?
Dr. Kanan Modi practices at 1305 W Arrow Hwy Ste 104, San Dimas, CA 917732337. Office phone: 9099677826.
What is Dr. Kanan Modi's NPI?
Dr. Kanan Modi's National Provider Identifier (NPI) is 1881704898, issued by NPPES.