Active NPI
Brian David Modena, M.D., MSC
- Allergy & Immunology Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- A103242
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A103242 | CA | MD | Allergy & Immunology (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Modena Allergy & Asthma Inc. | Allergy & Immunology | Current | Accepting new patients |
| Modena Allergy & Asthma II Inc. | Allergy & Immunology | Current | Accepting new patients |
| On Call Specialists Medical Group of San Diego, Inc. | Current | Accepting new patients | |
| Scripps Clinic Medical Group, Inc | Past | Accepting new patients | |
| Wun-Ling Chang, M.D., Inc. | Past | 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
- 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.
-
- Allergy & Immunology Physician
- Vista, CA
- NPI 1518836444
-
dba Modena Allergy & Asthma
- Allergy & Immunology Physician
- La Jolla, CA
- NPI 1508527797
-
- Specialist
- San Diego, CA
- NPI 1962175836
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
dba Scripps Proton Therapy Center
- Radiation Oncology Physician
- San Diego, CA
- NPI 1073853180
-
- Infectious Disease Physician
- La Jolla, CA
- NPI 1447267141
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Scripps Memorial Hospital La Jolla
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
dba Sharp Coronado Hospital
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.