GERALD LERAY NISSEN D.C. NPI 1720018435

NPI Information

  • NPI: 1720018435
  • Provider Name: GERALD LERAY NISSEN, D.C.
  • Classification: Radiologic Technologist - 2471C3402X
  • Specialization: Radiography
  • Entity Type: Individual
  • Address: 16916 STATE HIGHWAY 14
    MOJAVE, CA
    ZIP 93501
  • Phone: (661) 824-9732

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NPI Details

Gerald Leray Nissen, D.C. is a radiography radiologic technologist in Mojave, CA. The provider is a radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care. Gerald Leray Nissen, D.C. NPI is 1720018435. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16916 STATE HIGHWAY 14
MOJAVE, CA
ZIP 93501-226
Phone: (661) 824-9732
Fax: (661) 824-1638

The enumeration date for this NPI number is 7/5/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NR0200XChiropractorRadiologyDC16780CALIFORNIANo
22471C3402XRadiologic TechnologistRadiographyRHC126137CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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