Individual provider Active NPI

Ben Moshrefi, D.C.

  • Internist Chiropractor
  • Riverside, CA
National Provider Identifier
1023188174
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
27824 Issued in CA
Practice address
1450 University Ave Ste E
Riverside, CA 92507-4411
Phone
(951) 222-2002
Fax
(951) 686-8083
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 27824 CA Primary

Addresses

Primary practice location

1450 University Ave Ste E
Riverside, CA 92507-4411

Mailing address

1450 University Ave Ste E
Riverside, CA 92507-4411
Phone (951) 222-2002

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)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023188174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 UNIVERSITY AVE STE E",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074411",
            "telephone_number": "951-222-2002",
            "fax_number": "951-686-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 UNIVERSITY AVE STE E",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074411",
            "telephone_number": "951-222-2002",
            "fax_number": "951-686-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHREFI",
        "first_name": "BEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "CA",
            "license": "27824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.