Active NPI
Solmaz N/a Modeer, RT, RTM
- Radiologic Technologist
- Chula Vista, CA
National Provider Identifier
1205946365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- Practice address
- 1635 3Rd Ave Ste G
Chula Vista, CA 91911-5884 - Phone
- (619) 409-6939
- Fax
- (619) 409-6949
- NPI assigned
- Aug 30, 2006
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | CA | Primary | |
| Bone Densitometry Radiologic Technologist | 2471B0102X | CA | ||
| Mammography Radiologic Technologist | 2471M2300X | RHM61604 | CA |
Addresses
Primary practice location
1635 3Rd Ave Ste G
Chula Vista, CA 91911-5884
Mailing address
14795 Caminito Orense Este
San Diego, CA 92129-1532
Phone (619) 409-6939
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IDTF00430 | Medicaid | CA | |
| IDTF00420 | Medicaid | CA | |
| 232400 | Other | CA | FDA MAMMOGRAPHY NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RHM61604 | CA | MD | Mammography Radiologic Technologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vascular & Interventional Radiology Physician
- Chula Vista, CA
- NPI 1003088832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1205946365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14795 CAMINITO ORENSE ESTE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921291532",
"telephone_number": "619-409-6939",
"fax_number": "619-409-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 3RD AVE STE G",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919115884",
"telephone_number": "619-409-6939",
"fax_number": "619-409-6949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODEER",
"first_name": "SOLMAZ",
"middle_name": "N/A",
"name_prefix": "Ms.",
"credential": "RT, RTM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "2471B0102X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Bone Densitometry",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "2471M2300X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Mammography",
"state": "CA",
"license": "RHM61604",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "IDTF00430",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "IDTF00420",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FDA MAMMOGRAPHY NUMBER",
"identifier": "232400",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.