OrganizationActive
Moderm Medical Solutions Ca Inc.
NPI 1144195884 · Community Health Nurse Practitioner · San Jacinto, CA
Provider details
- NPI number
- 1144195884
- Entity type
- Organization
- Primary specialty
- Community Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tamara Pippin, Owner/Ceo(760) 525-5894
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2263 Finch Circle
San Jacinto, CA 92582
Phone: (888) 211-1498
Fax: (888) 211-4677
Street-level locationGet directions
Mailing address
3350 Shelby St Ste 200
Ontario, CA 91764-5556
Registry dates
- Enumerated
- 2025-10-10
- Last updated
- 2025-10-10
- Certified
- 2025-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.