Active NPI
James G Modir, M.D.
- Pain Medicine (Anesthesiology) Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- A89775
- Practice address
- 15004 Innovation Dr
San Diego, CA 92128-3491 - Phone
- (858) 605-7398
- Fax
- (858) 605-7109
- NPI assigned
- Dec 26, 2006
- Last updated
- Mar 11, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A89775 | CA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A89775 | CA | Primary |
Addresses
Primary practice location
15004 Innovation Dr
San Diego, CA 92128-3491
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 605-7398
Other practice location 1
10666 N Torrey Pines Rd
LA Jolla, CA 92037-1027
Phone (858) 554-9100
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
- Pain Management
- Education
- Medical College of Wisconsin, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15004 Innovation Dr
San Diego, CA 92128-3498
Phone (858) 487-1800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A89775 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Regents of the University of California | Anesthesiology | Current | Accepting new patients |
| Regents of the University of California | Pain Medicine | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Clinic Medical Group | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients |
Locations
10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
10170 Sorrento Valley Rd
#5
San Diego, CA 92121
Phone (858) 754-5767
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
15004 Innovation Dr
San Diego, CA 92128
Phone (858) 487-1800
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
3811 Valley Centre Dr
San Diego, CA 92130
Phone (858) 554-8645
9730 Summers Ridge Rd
#100
San Diego, CA 92121
Phone (858) 549-7400
Interoperability endpoints
- jmodir19273@scrippshlth.medalliesdirect.net
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- San Diego, CA
- NPI 1356444897
-
- Pain Medicine (Anesthesiology) Physician
- San Diego, CA
- NPI 1376646869
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
dba Scripps Home Health Care Services
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
dba Scripps Cardiovascular and Thoracic Surgery Center
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- La Jolla, CA
- NPI 1619108503
-
dba Scripps Coastal Medical Center
- Family Medicine Physician
- San Diego, CA
- NPI 1881636108
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1124003280
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1902961535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10790 RANCHO BERNARDO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275705",
"telephone_number": "858-605-7398",
"fax_number": "858-605-7109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15004 INNOVATION DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921283491",
"telephone_number": "858-605-7398",
"fax_number": "858-605-7109"
}
],
"practiceLocations": [
{
"address_1": "10666 N Torrey Pines Rd",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920371027",
"country_code": "US",
"telephone_number": "858-554-9100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MODIR",
"first_name": "JAMES",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A89775",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A89775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.