MODERN NEUROCARE MEDICAL CENTER
NPI 1366461782
Psychiatry & Neurology - Neurology in Stockton, CA

Active since July 18, 2006
1801 E MARCH LN, SUITE B-220, STOCKTON, CA 95210(209) 951-8830(209) 951-8831 Get Directions Write a Review

NPPES record last updated: December 7, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Modern Neurocare Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN NEUROCARE MEDICAL CENTER (NPI 1366461782) is a healthcare organization registered as a neurology in Stockton, California and active in the NPI registry since July 2006. The organization lists Madan Prasad, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1366461782
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameMODERN NEUROCARE MEDICAL CENTER
Location Address1801 E MARCH LN, SUITE B-220Stockton, CA 95210-6629
Mailing AddressPo Box 7393Stockton, CA 95267-0393 · (209) 951-8830 · Fax (209) 951-8831
Fax(209) 951-8831
Organization SubpartNo
Authorized OfficialMadan PrasadPresident/ceo · (209) 951-8830
Enumeration DateJuly 18, 2006
Last NPPES UpdateDecember 7, 2018
✔ NPI 1366461782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A86600
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1801 E MARCH LN, Stockton, CA 95210

Other Identifiers 1

Medicaid00A866000CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Modern Neurocare Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Modern Neurocare Medical Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurology
NPI 1639198054
1801 E MARCH LN SUITE B-220
Stockton, CA 95210
(209) 951-8830
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Neurocare Medical Center's NPI number?

The NPI number for Modern Neurocare Medical Center is 1366461782. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Modern Neurocare Medical Center located?

Modern Neurocare Medical Center is located at 1801 E March Ln Suite B-220, Stockton, CA 95210. The listed phone number is (209) 951-8830.

What is Modern Neurocare Medical Center's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Modern Neurocare Medical Center enrolled in Medicare?

Yes. Modern Neurocare Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Modern Neurocare Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Modern Neurocare Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Modern Neurocare Medical Center was last updated on December 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.