NPIMap

Organization Active NPI

Modena Allergy & Asthma Inc.

  • Allergy & Immunology Physician
  • La Jolla, CA
National Provider Identifier
1508527797
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
MODENA ALLERGY & ASTHMA INC.
Practice address
9850 Genesee Ave Ste 710
La Jolla, CA 92037-1218
Phone
(858) 283-3963
Fax
(858) 332-1811
NPI assigned
Jan 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Brian D Modena, MD, MSCNPI 1235379207
Title
Director & Secretary
Phone
(412) 689-0636

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X Primary
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KA0200X
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KI0005X
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0201X
Pediatric Pulmonology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0214X

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) 283-3963

Other practice location 1

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

Other names 1

  • Modena Allergy & Asthma Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220405000827 CA Part B Supplier - Clinic/Group Practice 9436545274 Receives reassigned benefits from 22 practitioners
Practice locations: Hacienda Heights, CA; Torrance, CA; Solana Beach, CA; San Gabriel, CA; Long Beach, CA; La Jolla, CA; Alhambra, CA
O20251106000423 AZ Part B Supplier - Clinic/Group Practice 9436545274 Receives reassigned benefits from 3 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

330 S Garfield Ave
Ste 116
Alhambra, CA 91801
Phone (626) 284-3400

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1508527797",
    "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": "858-283-3963",
            "fax_number": "858-332-1811"
        },
        {
            "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": "858-283-3963",
            "fax_number": "858-332-1811"
        }
    ],
    "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"
        }
    ],
    "basic": {
        "organization_name": "MODENA ALLERGY & ASTHMA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "MODENA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR & SECRETARY",
        "authorized_official_telephone_number": "412-689-0636",
        "authorized_official_credential": "MD, MSC"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207KI0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modena Allergy & Asthma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.