Active NPI
Jazbieh M Moezzi, MD
- Anatomic Pathology & Clinical Pathology Physician
- San Diego, CA
National Provider Identifier
1043223886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 35.048376
- Practice address
- 700 W Harbor Dr
#2702
San Diego, CA 92101-7753 - Phone
- (937) 304-4410
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35.048376 | OH | Primary |
Addresses
Primary practice location
700 W Harbor Dr
#2702
San Diego, CA 92101-7753
Mailing address
700 West Harbor Drive
#2702
San Diego, CA 92101
Phone (937) 304-4410
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.048376 | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1043223886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 WEST HARBOR DRIVE",
"address_2": "#2702",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92101",
"telephone_number": "937-304-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W HARBOR DR",
"address_2": "#2702",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921017753",
"telephone_number": "937-304-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOEZZI",
"first_name": "JAZBIEH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35.048376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.