Look up the most recent NPI and PECOS records

Ashley Lynn Modi

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

200 Ucla Medical Plz Ste 550, Los Angeles, CA 90095-8344

PECOS Enrollment

This provider is enrolled in PECOS as ASHLEY MODI.

Based on the most recent information from CMS, provider Ashley Lynn Modi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 11 days ago.

Profile Details

Provider ID
1780154534
Provider Type
Individual
Full Name
Modi, Ashley Lynn
Credential
NURSE PRACTITIONER

Gender
Female
Sole Proprietor
No
Enumeration Date
12/4/2018
Last Updated
10/16/2020

Contact Information

Practice Location

200 Ucla Medical Plz Ste 550, Los Angeles, CA 90095-8344

(310) 206-6699

Unlisted Fax

Mailing Location

5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LA2100X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95009555 California

Ashley Lynn Modi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Yoon, Monica

Vu, Jennifer

Alcantara, Aileen June

Basutkar, Vineeta

Quinn, Christine Marie

Patel, Meera

Shin, Hannah Haesoo

Tamae, Cindy

Jeong, Jennifer K

Rhodes, Claire Elizabeth