| Joseph Ashimedua Modestus, PMHNP | |
|
6200 Wilshire Blvd Ste 1410, Los Angeles, CA 90048-5815 | |
| (925) 282-1778 | |
| (415) 296-5299 |
| Full Name | Joseph Ashimedua Modestus |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 6200 Wilshire Blvd Ste 1410, Los Angeles, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750982054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NP95016877 (California) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2020037670 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Equity Health | 3072644673 | 6 |
| Entity Name | Jwch Institute Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407808058 PECOS PAC ID: 1850394123 Enrollment ID: O20060807000476 |
| Entity Name | Mobile Physicians Medical Allied Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184199275 PECOS PAC ID: 7810233491 Enrollment ID: O20190326000349 |
| Entity Name | Penciu Medical APMC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295351740 PECOS PAC ID: 2062827132 Enrollment ID: O20210223002020 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Ashimedua Modestus, PMHNP 6200 Wilshire Blvd Ste 1410, Los Angeles, CA 90048-5815 Ph: (925) 282-1778 | Joseph Ashimedua Modestus, PMHNP 6200 Wilshire Blvd Ste 1410, Los Angeles, CA 90048-5815 Ph: (925) 282-1778 |
Prof. Antoinette Zaragoza, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 245 S. Fetterly Ave, Roybal Comprehensive Chc, Los Angeles, CA 90022 Phone: 323-780-2216 |
Maria Del Carmen Castillo, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 E 1st St, Los Angeles, CA 90063 Phone: 323-262-6935 Fax: 323-262-3109 |
Anna Teresa Mendoza Tsay, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3913 York Blvd, Los Angeles, CA 90065 Phone: 323-532-1900 |
Sherry Hefner Medrano, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 S Mathews St, Los Angeles, CA 90033 Phone: 323-780-6502 Fax: 323-780-6685 |
Miss Martha Emily Muriel, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2829 S Grand Ave, Room # 213, Los Angeles, CA 90007 Phone: 213-744-6120 Fax: 213-749-6601 |
Woosin Chung, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1515 N Vermont Ave Fl 2, Los Angeles, CA 90027 Phone: 213-220-9190 |
Jomarie Esteban Monzon-duller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8730 Alden Drive, Los Angeles, CA 90048 Phone: 310-423-0926 |