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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MODAX CORPORATION
NPI 1659200616
Family Medicine in Sherman Oaks, CA

Active since May 15, 2026
4955 VAN NUYS BLVD STE 308, SHERMAN OAKS, CA 91403(818) 528-1044 Get Directions Write a Review

NPPES record added: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Modax Corporation NPPES

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

MODAX CORPORATION (NPI 1659200616) is a healthcare organization registered as a family medicine in Sherman Oaks, California and active in the NPI registry since May 2026. The organization lists Mohammad M Siddiqui, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1659200616
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMODAX CORPORATION
Location Address4955 VAN NUYS BLVD STE 308Sherman Oaks, CA 91403-1811
Mailing Address4955 Van Nuys Blvd Ste 308Sherman Oaks, CA 91403-1811 · (818) 528-1044
Phone(818) 528-1044
Organization SubpartNo
Authorized OfficialMohammad M SiddiquiMedical Director · (818) 528-1044
Enumeration DateMay 15, 2026
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1659200616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4955 VAN NUYS BLVD STE 308, Sherman Oaks, CA 91403
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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

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDMOND DERDERIAN M.D.
Internal Medicine
4955 VAN NUYS BLVD STE 308
SHERMAN OAKS, CA 91403
Los Angeles County (818) 528-1044
BERJ DERMENDJIAN DO A MEDICAL CORPORATION
Internal Medicine
4955 VAN NUYS BLVD STE 308
SHERMAN OAKS, CA 91403
Los Angeles County (818) 528-1260
DESIRAE MUTUC FNP-C
Nurse Practitioner (Family)
4955 VAN NUYS BLVD STE 308
SHERMAN OAKS, CA 91403
Los Angeles County (818) 528-1044
ORION HEALTHCARE MANAGEMENT SERVICES
Case Management
4955 VAN NUYS BLVD STE 308
SHERMAN OAKS, CA 91403
Los Angeles County (661) 259-9251
BERJ DERMENDJIAN D.O
Internal Medicine
4955 VAN NUYS BLVD STE 308
SHERMAN OAKS, CA 91403
Los Angeles County (818) 905-5583
ALEXANDRIA RUDOLPH AGACNP
Nurse Practitioner (Acute Care)
4955 VAN NUYS BLVD STE 308
SHERMAN OAKS, CA 91403
Los Angeles County (213) 279-1220
MRS. TAKOUHI TINA MEKHARIAN NP
Nurse Practitioner (Gerontology)
4955 VAN NUYS BLVD STE 308
SHERMAN OAKS, CA 91403
Los Angeles County (818) 387-6114
DERDERYAN MEDICAL GROUP INC.
Internal Medicine
4955 VAN NUYS BLVD STE 308
SHERMAN OAKS, CA 91403
Los Angeles County (646) 552-1547

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 Modax Corporation's NPI number?

The NPI number for Modax Corporation is 1659200616. It was assigned to this organization in the NPPES registry on May 15, 2026.

Where is Modax Corporation located?

Modax Corporation is located at 4955 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403. The listed phone number is (818) 528-1044.

What is Modax Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Modax Corporation was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.