Ali Moayed, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G84380 Issued in CA

Practice address

16400 Lark Ave
Ste 300
Los Gatos, CA 95032

Phone

(408) 356-1199

Fax

(408) 356-5344

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ali Moayed MD Inc Med GRP

  • Clinic/Center
  • Los Gatos, CA
  • NPI 1003914383
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124126503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 LARK AVE",
            "address_2": "STE 300",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-356-1199",
            "fax_number": "408-356-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 LARK AVE",
            "address_2": "STE 300",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-356-1199",
            "fax_number": "408-356-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAYED",
        "first_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G84380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G843800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mirage Imaging Center for Aetna
• Mirage Imaging Professional Corporation
• Nili Olech Mirande, MFT
• Carly Mitchell
• George Edward Mitchell, L.AC.
• Modern Orthopedics PC
• Joyia Elizabeth Moeller
• Jacynda Torres Mogannam, HIS
• Manoj Mohan, D.O.
• Shamala Mohanasundaram, M.D

• Urology Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Urology Physician in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.