IndividualActive
Azadeh Modaresi, M.D.
NPI 1992707004 · Internal Medicine Physician · Van Nuys, CA
Provider details
- NPI number
- 1992707004
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- A70235 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES 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
6730a White Oak Ave
Van Nuys, CA 91406
Phone: (818) 668-8898
Fax: (818) 668-8893
Street-level locationGet directions
Mailing address
Po Box 547
Woodland Hills, CA 91365-0547
Registry dates
- Enumerated
- 2005-06-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.