Organization Active NPI

Amir Moradi, M.D., a. Prof. Corp.

  • Clinic/Center
  • Vista, CA
National Provider Identifier
1134316987
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A69449 Issued in CA
Legal business name
AMIR MORADI, M.D., A. PROF. CORP.
Practice address
2023 W Vista Way Ste F
Vista, CA 92083-6030
Phone
(760) 726-6451
Fax
(760) 726-4822
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Dr. Amir Moradi, M.D.
Title
M. D.
Phone
(760) 726-6451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A69449 CA Primary

Addresses

Primary practice location

2023 W Vista Way Ste F
Vista, CA 92083-6030

Mailing address

2023 W Vista Way Ste F
Vista, CA 92083-6030
Phone (760) 726-6451

National Provider Directory

National Provider Directory

Locations

2023 W Vista Way
Ste F
Vista, CA 92083
Phone (760) 645-1301

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1134316987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 W VISTA WAY STE F",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836030",
            "telephone_number": "760-726-6451",
            "fax_number": "760-726-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 W VISTA WAY STE F",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836030",
            "telephone_number": "760-726-6451",
            "fax_number": "760-726-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIR MORADI, M.D., A. PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "MORADI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "M. D.",
        "authorized_official_telephone_number": "760-726-6451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A69449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.