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DR. YVETTE MARIE MODAD M.D.
NPI 1487945150
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since April 28, 2011PECOS Enrolled
11234 ANDERSON SREET, GRADUATE MEDICAL EDUCATIONAL OFFICE CSP 21005, LOMA LINDA, CA 92354(909) 558-4000 Get Directions Write a Review

NPPES record last updated: April 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Yvette Marie Modad M.d. NPPES

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

DR. YVETTE MARIE MODAD M.D. (NPI 1487945150) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487945150
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. YVETTE MARIE MODADCredential: M.D.
Location Address11234 ANDERSON SREET, GRADUATE MEDICAL EDUCATIONAL OFFICE CSP 21005Loma Linda, CA 92354-2804
Mailing Address11234 Anderson Sreet, Graduate Medical Educational Office Csp 21005Loma Linda, CA 92354-2804 · (909) 558-4000
Phone(909) 558-4000
Sole ProprietorNo
Enumeration DateApril 28, 2011
✔ NPI 1487945150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11234 ANDERSON SREET, Loma Linda, CA 92354
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Yvette Marie Modad M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Yvette Modad's NPI number?

The NPI number for Yvette Modad is 1487945150. It was assigned to this individual provider in the NPPES registry on April 28, 2011.

Where is Yvette Modad located?

Yvette Modad practices at 11234 Anderson Sreet Graduate Medical Educational Office Csp 21005, Loma Linda, CA 92354. The listed phone number is (909) 558-4000.

What is Yvette Modad's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Yvette Modad enrolled in Medicare?

Yes. Yvette Modad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yvette Modad was last updated on April 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.