Ladan Modallel, MD
NPI 1669633376 · Pediatrics Physician · San Bernardino, CA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ladan Modallel, MD is a Pediatrics Physician provider in San Bernardino, CA (NPI 1669633376).
Provider details
- NPI number
- 1669633376
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 44915 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 1550 S Pioneer Way Ste 200Moses Lake, WA 98837-4614Phone: (509) 793-9787Fax: (509) 764-3263
Registry dates
- Enumerated
- 2008-06-24
- Last updated
- 2025-08-18
- Certified
- 2025-08-18
Frequently asked questions
- What is Ladan Modallel's NPI number?
- Ladan Modallel's National Provider Identifier (NPI) is 1669633376, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ladan Modallel's specialty?
- Ladan Modallel is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Ladan Modallel located?
- Ladan Modallel's practice location on file with NPPES is 1574 W Base Line St Ste 107, San Bernardino, CA 92411-1736.
- What is Ladan Modallel's phone number?
- The practice phone number listed in the NPPES registry for Ladan Modallel is (909) 386-1880.
- Does Ladan Modallel accept Medicare?
- Ladan Modallel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ladan Modallel's NPI active?
- Yes — Ladan Modallel's NPI (1669633376) is active in the NPPES registry as of the last update on 2025-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.