Individual provider Active NPI

Brian David Modena, M.D., MSC

  • Allergy & Immunology Physician
  • La Jolla, CA
National Provider Identifier
1235379207
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A103242 Issued in CA
Practice address
9850 Genesee Ave Ste 710
La Jolla, CA 92037-1218
Phone
(858) 260-2977
Fax
(858) 260-2978
NPI assigned
Mar 3, 2009
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X A103242 CA Primary
Internal Medicine Physician 207R00000X A103242 CA
Allergy & Immunology (Internal Medicine) Physician 207RA0201X A103242 CA

Addresses

Primary practice location

9850 Genesee Ave Ste 710
La Jolla, CA 92037-1218

Mailing address

9850 Genesee Ave Ste 710
La Jolla, CA 92037-1218
Phone (858) 260-2977

Other practice location 1

23600 Telo Ave Ste 130
Torrance, CA 90505-4036
Phone (310) 833-1334

Other practice location 2

3816 Woodruff Ave Ste 209
Long Beach, CA 90808-2145
Phone (562) 496-4749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090512000482 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 0042369555 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
West Virginia University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Modena Allergy and Asthma II Inc.Group PAC ID 1658852124, 6 clinicians
On Call Specialists Medical Group of San Diego IncGroup PAC ID 7911395231, 145 clinicians
Modena Allergy and Asthma Inc.Group PAC ID 9436545274, 25 clinicians

Practice addresses (Care Compare)

230 Prospect PL
Suite 220
Coronado, CA 92118-1978
Phone (858) 458-0940

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 359-6600

9850 Genesee Ave
Suite 710
La Jolla, CA 92037-1218
Phone (858) 260-2977

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A103242CAMDAllergy & Immunology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Dec 1, 2021 Accepting new patients
Modena Allergy & Asthma Inc. Allergy & Immunology CurrentSince May 1, 2022 Accepting new patients
Modena Allergy & Asthma II Inc. Allergy & Immunology CurrentSince Dec 28, 2025 Accepting new patients
On Call Specialists Medical Group of San Diego, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Scripps Clinic Medical Group, Inc Past Accepting new patients
Wun-Ling Chang, M.D., Inc. PastSince Jun 1, 2021 Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

910 Hale Pl
Ste 110
Chula Vista, CA 91914
Phone (619) 704-7577

230 Prospect Pl
Ste 220
Coronado, CA 92118
Phone (559) 593-6450

9850 Genesee Ave
Ste 710
La Jolla, CA 92037
Phone (858) 260-2977

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

3816 Woodruff Ave
Ste 209
Long Beach, CA 90808
Phone (562) 496-4749

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

9833 Pacific Heights Blvd
Ste J
San Diego, CA 92121
Phone (858) 452-3937

462 Stevens Ave
Ste 300
Solana Beach, CA 92075
Phone (858) 392-8660

23600 Telo Ave
Ste 130
Torrance, CA 90505
Phone (310) 530-1010

650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bmodena@allergistsandiego.emadirect.md

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1235379207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 710",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371218",
            "telephone_number": "858-260-2977",
            "fax_number": "858-260-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 710",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371218",
            "telephone_number": "858-260-2977",
            "fax_number": "858-260-2978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23600 Telo Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054036",
            "country_code": "US",
            "telephone_number": "310-833-1334",
            "fax_number": "310-833-0270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3816 Woodruff Ave Ste 209",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908082145",
            "country_code": "US",
            "telephone_number": "562-496-4749",
            "fax_number": "562-429-3329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODENA",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D., MSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-03",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A103242",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A103242",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "A103242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.