Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jagannath Sam Nayak

Individual provider Psychiatry Physician · NPI 1548764863

Dr. Jagannath Sam Nayak is a Psychiatry in Colton, California. Graduated from University of California, San Diego School of Medicine in 2018, 8 years ago. Practices with Pacific Heritage Medical Group Inc, a 60-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Trained at
University of California, San Diego School of Medicine
Licensed in
CA
In the registry since
2018
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Practice location Address checks out

400 N Pepper Ave
Colton, CA 92324-1819
Phone: (909) 580-2186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1805 Medical Center Dr, San Bernardino, CA 92411-1217 — (844) 496-9160

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A166879 (CA)

Record details

NPI number1548764863
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2018
Last updated in NPPESOctober 17, 2023
Certification dateJanuary 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Pacific Heritage Medical Group Inc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Colton