Milad Modabber, MD, FRCSC, MS

Primary specialty

Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X

License

A163509 Issued in CA

Practice address

4860 Y St # 2400
Sacramento, CA 95817-2307

Phone

(916) 734-6602

Fax

(916) 734-6992

NPI assigned

Jul 10, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regents of the Univ of Ca

  • Orthopaedic Surgery Physician
  • Sacramento, CA
  • NPI 1275526295
  NPD (past)

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1720630833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST # 2400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-6602",
            "fax_number": "916-734-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST # 2400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-6602",
            "fax_number": "916-734-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODABBER",
        "first_name": "MILAD",
        "name_prefix": "Dr.",
        "credential": "MD, FRCSC, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "CA",
            "license": "A163509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Clinic Team Ca LLC
• Mobile Senior Activities
• Mobixhealth
• Cynthia Mock
• Elbert L Mock III, PHARMD
• Sidney Joseph Modiste, M.D.
• Sara Parastu Modjtahedi, MD
• Dwan Modkins
• Armaiti Mody
• H. David Moehring, MD

• Cornea and External Diseases Specialist Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Cornea and External Diseases Specialist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.