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

Active since November 03, 2020PECOS EnrolledAccepts Medicare Assignment
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: September 27, 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, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2019).

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
Fax(415) 296-5299
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
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

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph Ashimedua Modestus Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476922691
PECOS Enrollment IDI20221212000074
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.

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.

Social Worker (Clinical)
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Marriage & Family Therapist
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Marriage & Family Therapist
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Marriage & Family Therapist
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Psychiatry & Neurology (Psychiatry)
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Psychiatry & Neurology (Psychiatry)
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Psychologist
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Social Worker (Clinical)
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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.