Organization Active NPI

Modesty Electrology

  • Dermatology Physician
  • Glendora, CA
National Provider Identifier
1295362234
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MODESTY ELECTROLOGY
Doing business as
Modesty Electrology
Practice address
140 S Grand Ave
Glendora, CA 91741-4259
Phone
(213) 973-3278
NPI assigned
Mar 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Authorized official

Name
Modesty J Isaguirre, LENPI 1457982001
Title
Owner
Phone
(909) 954-8363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

140 S Grand Ave
Glendora, CA 91741-4259

Mailing address

824 N Pasadena Ave Apt 14
Azusa, CA 91702-2573
Phone (909) 954-8363

Other names 1

  • Modesty Electrology Doing business as

National Provider Directory

National Provider Directory

Locations

140 S Grand Ave
Glendora, CA 91741
Phone (213) 973-3278

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1295362234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 N PASADENA AVE APT 14",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022573",
            "telephone_number": "909-954-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414259",
            "telephone_number": "213-973-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODESTY ELECTROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "ISAGUIRRE",
        "authorized_official_first_name": "MODESTY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-954-8363",
        "authorized_official_credential": "LE"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modesty Electrology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.