MODERM MEDICAL SOLUTIONS CA INC. NPI 1144195884

NPI Information

  • NPI: 1144195884
  • Provider Name: MODERM MEDICAL SOLUTIONS CA INC.
  • Classification: Nurse Practitioner - 363LC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Address: 2263 FINCH CIRCLE
    SAN JACINTO, CA
    ZIP 92582
  • Phone: (888) 211-1498

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NPI Details

MODERM MEDICAL SOLUTIONS CA INC. is a community health nurse practitioner in San Jacinto, CA. MODERM MEDICAL SOLUTIONS CA INC. NPI is 1144195884. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2263 FINCH CIRCLE
SAN JACINTO, CA
ZIP 92582
Phone: (888) 211-1498
Fax: (888) 211-4677

The provider's authorized official is Tamara Sue Pippin .
The authorized official title is Owner/ceo and has the following contact phone number (760) 525-5894.

The enumeration date for this NPI number is 10/10/2025 and was last updated on 10/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNo
2363LC1500XNurse PractitionerCommunity HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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