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DR. KANAN MODI M.D.
NPI 1881704898
Pediatrics in San Dimas, CA

Active since August 30, 2006PECOS Enrolled
1305 W ARROW HWY STE 104, SAN DIMAS, CA 91773(909) 967-7826(909) 394-9461 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kanan Modi M.d. NPPES

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

DR. KANAN MODI M.D. (NPI 1881704898) is an individual pediatrics provider in San Dimas, California, licensed in California (A38793) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hesperia.

NPPES Registry Identity

NPI1881704898
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KANAN MODICredential: M.D.
Location Address1305 W ARROW HWY STE 104San Dimas, CA 91773-2337
Mailing Address1305 W Arrow Hwy, 104San Dimas, CA 91773-2336 · (909) 394-9004 · Fax (909) 394-9461
Phone(909) 967-7826
Fax(909) 394-9461
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
✔ NPI 1881704898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A38793
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedSpecialistTaxonomy 174400000X · License A38793 (CA)
1305 W ARROW HWY STE 104, San Dimas, CA 91773
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Secondary Practice Location 1

Location 115888 Main St Ste 112BHesperia, CA 92345-3467 · Phone (760) 948-2242

Other Identifiers 2

Medicaid00A387930CA
OtherA38793CA · State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kanan Modi 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.

Medicare Billing Reassignment

Medicare enrollment records show Kanan Modi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emanate Health Medical Care Foundation
7.2 mi
Multi-Specialty
1135 S SUNSET AVE STE 401
West Covina, CA 91790
  • Reassigned Medicare billing, California enrollment
  • 114 clinicians in this Medicare group
NPI 1467195073 (626) 732-0394

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 91773 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 2

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

SHOBA RAO M.D.
Pediatrics
1305 W ARROW HWY STE 104
SAN DIMAS, CA 91773
Los Angeles County (909) 394-9004
KANAN MODI MD INC
Pediatrics
1305 W ARROW HWY STE 104
SAN DIMAS, CA 91773
Los Angeles County (909) 394-9004

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 Kanan Modi's NPI number?

The NPI number for Kanan Modi is 1881704898. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Kanan Modi located?

Kanan Modi practices at 1305 W Arrow Hwy Ste 104, San Dimas, CA 91773. The listed phone number is (909) 967-7826.

What is Kanan Modi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kanan Modi enrolled in Medicare?

Yes. Kanan Modi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kanan Modi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kanan Modi reassigns Medicare benefits to Emanate Health Medical Care Foundation (West Covina, CA). The 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 Kanan Modi'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 Kanan Modi was last updated on February 1, 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.