Dr. Ladan Modallel , MD
Pediatrics • San Bernardino, CA
Professional Overview & Biography Verified Profile Summary
Dr. Ladan Modallel, MD is a registered healthcare professional specializing in Pediatrics in San Bernardino, CA. Practice services are available at 1574 W BASE LINE ST STE 107 under active NPI credentials.
Practice Location & Contact Primary Location
1574 W Base Line St Ste 107
San Bernardino, CA 924111736
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in San Bernardino, CA
Practicing in San Bernardino, CA (9612 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2025-08-18NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
1550 S Pioneer Way Ste 200
Moses Lake, WA 988374614
Phone: 5097939787
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Family
Nurse Practitioner
Community Health Worker
Physician Assistant
PHYSICIANASSISTANT
General Practice
Doctor of Medicine (M.D.)
Nurse Practitioner - Obstetrics & Gynecology
Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Pediatrics (License #44915 in KY)
Registered at 1574 W BASE LINE ST STE 107, SAN BERNARDINO, CA 924111736 (Tel: 9093861880)
Registered at 742 W HIGHLAND AVE, SAN BERNARDINO, CA 924053839 (Tel: 9093861880)
Pediatrics (License #117285 in CA)
Registered at 1550 S PIONEER WAY STE 200, MOSES LAKE, WA 988374614 (Tel: 5097939787)
Pediatrics (License #MD60914735 in WA)
Registered at 1550 S PIONEER WAY STE 370, MOSES LAKE, WA 988374618 (Tel: 5097939787)
Registered at 660 S COOLIDGE ST, MOSES LAKE, WA 988371872 (Tel: 5097939715)
NPI status registered as active in NPPES database
Registered at 416 SPRING ST, SUITE A, PASO ROBLES, CA 934463161 (Tel: 8052387250)
Registered at 2050 S BLOSSER RD, SANTA MARIA, CA 934587310 (Tel: 8053618028)
Recorded as LADAN MODALLEL, MD
Pediatrics (License #117285 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
742 W Highland Ave
San Bernardino, CA 924053839
Phone: 9093861880
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