Active NPI
Alireza Moheb, DMD
- Dentist
- Walnut Creek, CA
National Provider Identifier
1013096502
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Apr 18, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 50324
- Practice address
- 1844 San Miguel Dr
# 206
Walnut Creek, CA 94596 - Phone
- (925) 279-3326
- Fax
- (925) 279-2270
- NPI assigned
- Nov 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 50324 | CA | Primary |
Addresses
Primary practice location
1844 San Miguel Dr
# 206
Walnut Creek, CA 94596
Mailing address
1844 San Miguel Dr
# 206
Walnut Creek, CA 94596
Phone (925) 279-3326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50324 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moheb DMD Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013096502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1844 SAN MIGUEL DR",
"address_2": "# 206",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94596",
"telephone_number": "925-279-3326",
"fax_number": "925-279-2270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1844 SAN MIGUEL DR",
"address_2": "# 206",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94596",
"telephone_number": "925-279-3326",
"fax_number": "925-279-2270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHEB",
"first_name": "ALIREZA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "50324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.