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

Joseph Ashimedua Modestus, PMHNP

Individual provider Psychiatry Physician · NPI 1750982054

Joseph Ashimedua Modestus, PMHNP is a Nurse Practitioner in Los Angeles, California. Qualified in 2019, 7 years ago. Practices with Equity Health, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

6200 Wilshire Blvd Ste 1410
Los Angeles, CA 90048-5815
Phone: (925) 282-1778
Fax: (415) 296-5299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 522 S San Pedro St, Los Angeles, CA 90013-2102 — (562) 867-7999

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence NP95016877 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 2020037670 (CA)

Record details

NPI number1750982054
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedNovember 3, 2020
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Equity Health — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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