Jasvant N Modi, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A39818 Issued in CA

Practice address

711 N Alvarado St
Suite 112
Los Angeles, CA 90026-4076

Phone

(213) 999-7011

Fax

(213) 483-0047

NPI assigned

Nov 2, 2006

Last updated

Dec 4, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Ajit Healthcare Inc.

  dba Westlake Convalescent Hospital

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1861489668
  Authorized official Same address or phone
• Advanced Skilled Nursing Inc.

  dba Virgil Rehabilitation and Skilled Nursing Center

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1811211915
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1518046432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N ALVARADO ST",
            "address_2": "SUITE 112",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264076",
            "telephone_number": "213-999-7011",
            "fax_number": "213-483-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N ALVARADO ST",
            "address_2": "SUITE 112",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264076",
            "telephone_number": "213-999-7011",
            "fax_number": "213-483-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "JASVANT",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A39818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A398180",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A398181",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518046432",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Modeste, RDT, MS
• Yozmine Modeste
• Modesto Specialty Surgery Center PC
• Joseph Ashimedua Modestus, PMHNP
• Ashley Lynn Modi, NURSE PRACTITIONER
• Masoom Modi, M.D.
• Meera Modi, M.D.
• Rushabh Modi
• Stanislav Modin
• Michelle Modina, NP

• Gastroenterology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.