Individual provider Active NPI

Solmaz N/a Modeer, RT, RTM

  • Radiologic Technologist
  • Chula Vista, CA
National Provider Identifier
1205946365
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
IDTF00430MedicaidCA
IDTF00420MedicaidCA
232400OtherCAFDA 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

LicenseStateTypeSpecialty
RHM61604CAMDMammography 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.

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.

Verify at the official NPI Registry.