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

Dr. Michael Modica, MD

Individual provider Diagnostic Radiology Physician · NPI 1295926061

Dr. Michael Modica, MD is a Diagnostic Radiology in Beverly Hills, California. Qualified in 2007, 19 years ago. Practices with Stockton Diagnostic Imaging, a 60-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
19
Licensed in
CA, MA
In the registry since
2007
Specialties on file
2
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

8750 Wilshire Blvd Ste 100
Beverly Hills, CA 90211-2708
Phone: (310) 689-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 877 W Main St, Boise, ID 83702-5883 — (208) 367-2161

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence C193571 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 251042 (MA)

Record details

NPI number1295926061
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 7, 2007
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Stockton Diagnostic Imaging — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

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