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

Individual provider Specialist · NPI 1881704898

Dr. Kanan Modi, MD is a Specialist in San Dimas, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1305 W Arrow Hwy Ste 104
San Dimas, CA 91773-2337
Phone: (909) 967-7826
Fax: (909) 394-9461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15888 Main St Ste 112b, Hesperia, CA 92345-3467 — (760) 948-2242

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A38793 (CA)
Specialist Taxonomy 174400000X · Licence A38793 (CA)

Record details

NPI number1881704898
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024
Mailing address1305 W Arrow Hwy, 104, San Dimas, CA 91773-2336

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