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JOSEPH ASHIMEDUA MODESTUS PMHNP
NPI 1750982054
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since November 03, 2020PECOS Enrolled
6200 WILSHIRE BLVD STE 1410, LOS ANGELES, CA 90048(925) 282-1778(415) 296-5299 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 26, 2024, Aug 30, 2023, Apr 21, 2021 and 1 more (4 updates tracked since 2020).

About Joseph Ashimedua Modestus Pmhnp NPPES

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

JOSEPH ASHIMEDUA MODESTUS PMHNP (NPI 1750982054) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (NP95016877) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1750982054
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJOSEPH ASHIMEDUA MODESTUSCredential: PMHNP
Location Address6200 WILSHIRE BLVD STE 1410Los Angeles, CA 90048-5815
Mailing Address6200 Wilshire Blvd Ste 1410Los Angeles, CA 90048-5815 · (925) 282-1778 · Fax (415) 296-5299
Phone(925) 282-1778
Fax(415) 296-5299
Sole ProprietorYes
Enumeration DateNovember 3, 2020
Last NPPES UpdateJune 26, 20244 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1750982054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · NP95016877
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 2020037670 (CA)
6200 WILSHIRE BLVD STE 1410, Los Angeles, CA 90048
Open in Google Maps ↗

Secondary Practice Location 1

Location 1522 S San Pedro StLos Angeles, CA 90013-2102 · Phone (562) 867-7999

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph Ashimedua Modestus Pmhnp 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Joseph Modestus reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jwch Institute, Inc.
4.5 mi
Federally Qualified Health Center (FQHC)
954 N VERMONT
Los Angeles, CA 90029
  • Reassigned Medicare billing, California enrollment
  • 138 clinicians in this Medicare group
NPI 1598829350 (323) 201-4516
Penciu Medical Apmc
9.2 mi
Psychiatry
1111 N BRAND BLVD STE 312
Glendale, CA 91202
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1295351740 (323) 230-0017
Mobile Physicians Medical Allied Group Inc
25 mi
Family Medicine
818 W CAMERON AVE
West Covina, CA 91790
  • Reassigned Medicare billing, California enrollment
  • 24 clinicians in this Medicare group
NPI 1184199275 (626) 338-7773

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

RUFINA SANDOVAL LCSW
Social Worker (Clinical)
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
MR. ROBERT JAMES FITZGERALD LMFT
Marriage & Family Therapist
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
MS. KARLA ANN BARNETT LMFT
Marriage & Family Therapist
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
AMAUNI PAULA BAKER LMFT
Marriage & Family Therapist
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
MICHAEL C KANG MD
Psychiatry & Neurology (Psychiatry)
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
JERRELL LEE MITCHELL DO
Psychiatry & Neurology (Psychiatry)
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
DR. BRIAN CID CHAO PSYD
Psychologist
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
MIRIAM STONE LCSW
Social Worker (Clinical)
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (424) 284-2440

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 Joseph Modestus's NPI number?

The NPI number for Joseph Modestus is 1750982054. It was assigned to this individual provider in the NPPES registry on November 3, 2020.

Where is Joseph Modestus located?

Joseph Modestus practices at 6200 Wilshire Blvd Ste 1410, Los Angeles, CA 90048. The listed phone number is (925) 282-1778.

What is Joseph Modestus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Joseph Modestus enrolled in Medicare?

Yes. Joseph Modestus is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Joseph Modestus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Modestus reassigns Medicare benefits to 3 organizations: Jwch Institute, Inc. (Los Angeles, CA), Penciu Medical Apmc (Glendale, CA) and Mobile Physicians Medical Allied Group Inc (West Covina, CA). Each 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 Joseph Modestus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joseph Modestus was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.