IndividualActive
John Jacisin, M.D.
NPI 1942301114 · Psychiatry Physician · Modesto, CA
John Jacisin, M.D. is a Psychiatry Physician provider in Modesto, CA (NPI 1942301114).
Provider details
- NPI number
- 1942301114
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- C39509 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3425 Coffee Rd
Suite 2a
Modesto, CA 95355-1582
Phone: (209) 524-9401
Street-level locationGet directions
Mailing address
600 Coffee Rd
Modesto, CA 95355-4201
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2013-09-03
Frequently asked questions
- What is John Jacisin's NPI number?
- John Jacisin's National Provider Identifier (NPI) is 1942301114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Jacisin's specialty?
- John Jacisin is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is John Jacisin located?
- John Jacisin's practice location on file with NPPES is 3425 Coffee Rd, Modesto, CA 95355-1582.
- What is John Jacisin's phone number?
- The practice phone number listed in the NPPES registry for John Jacisin is (209) 524-9401.
- Is John Jacisin's NPI active?
- Yes — John Jacisin's NPI (1942301114) is active in the NPPES registry as of the last update on 2013-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.