MS. SOLMAZ N/A MODEER (NPI# 1205946365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205946365 |
Entity Type | Individual |
Full Name | MS. SOLMAZ N/A MODEER |
Credential | RT, RTM |
Practice Address |
1635 3rd Ave Ste G Chula Vista CA 91911-5884 |
Mailing Address |
14795 Caminito Orense Este San Diego CA 92129-1532 |
Practice Telephone | 6194096939 |
Practice Fax Number | 6194096949 |
Mailing Telephone | 6194096939 |
Mailing Fax Number | 6194096949 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-07-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 247100000X | Radiologic Technologist | CA | Technologists, Technicians & Other Technical Service Providers | |
X | 2471B0102X |
Radiologic Technologist Specialization: Bone Densitometry |
CA | Technologists, Technicians & Other Technical Service Providers | |
X | 2471M2300X |
Radiologic Technologist Specialization: Mammography |
RHM61604 | CA | Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | IDTF00430 | 05 | |
CA | IDTF00420 | 05 | |
CA | FDA MAMMOGRAPHY NUMBER | 232400 | 01 |
Street Address |
1635 3RD AVE STE G |
City | CHULA VISTA |
State | CA |
Zip Code | 91911-5884 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003088832 | Solmaz Modeer | Clinical Medical Laboratory | 1635 3rd Ave Ste G, Chula Vista, CA 91911-5884 | 2008-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
Find all providers in zip 91911 |
Taxonomy Code | 247100000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366770471 | Paola Dumaplin | Radiologic Technologist | 1449 Warm Springs Dr, Chula Vista, CA 91913-2891 | 2009-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891303665 | Jeffrey Chan | Radiologic Technologist | 2735 Ulloa St, San Francisco, CA 94116-2321 | 2020-07-17 |
1275098675 | California Mobile Imaging LLC | Radiologic Technologist | 3649 W Beechwood Ave Ste 106, Fresno, CA 93711-0693 | 2019-02-10 |
1669960068 | Tracey Saucier | Radiologic Technologist | 6342 Fallbrook Ave Ste 102, Woodland Hills, CA 91367-1613 | 2018-05-01 |
1972090652 | Souk Luangsrinhotha | Radiologic Technologist | 5021 Rosso Ct, Salida, CA 95368-9066 | 2018-04-18 |
1013454123 | Thanhtrang Dinh | Radiologic Technologist | 1725 W 17th St Rm 101e, Santa Ana, CA 92706-2316 | 2017-01-26 |
1427401512 | Ashim Haydar Ali | Radiologic Technologist | 8900 Thornton Rd Ste 24, Stockton, CA 95209-1820 | 2016-07-13 |
1952758963 | Kevin Schuman | Radiologic Technologist | 8042 Tuscany St, Fontana, CA 92336-3800 | 2016-05-19 |
1154782373 | Damian Dejesus | Radiologic Technologist | 2204 Auberry Ave, Bakersfield, CA 93304-7268 | 2016-03-15 |
1487023149 | Yasuhide Mikami | Radiologic Technologist | 710 E Keats Ave, Fresno, CA 93710-7022 | 2015-09-23 |
1518334630 | Hun Choe | Radiologic Technologist | 41 Muirfield, Trabuco Canyon, CA 92679-3421 | 2015-08-24 |
Find all providers with the same taxonomy |
City | CHULA VISTA |
Zip Code | 91911 |
Please comment or provide details below to improve the information on MS. SOLMAZ N/A MODEER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.