Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Modic, MD

Individual provider Internal Medicine Physician · NPI 1063831972

Andrew Modic, MD is an Internal Medicine in Ridgecrest, California. Graduated from University of Connecticut School of Medicine in 2014, 12 years ago. Practices with Ridgecrest Regional Hospital, a 94-clinician group and accepts Medicare assignment. Licensed in Alabama and California.

Years since qualifying
12
Trained at
University of Connecticut School of Medicine
Licensed in
AL, CA
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1111 N China Lake Blvd
Ridgecrest, CA 93555-3131
Phone: (760) 499-3855
Fax: (760) 499-3870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A155740 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD.34762 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063831972
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2014
Last updated in NPPESFebruary 12, 2019
Mailing address1081 N China Lake Blvd, Ridgecrest, CA 93555-3130

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Ridgecrest Regional Hospital — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ridgecrest