Active NPI
Daniel S Moghadam, MD
- Emergency Medicine Physician
- Lompoc, CA
National Provider Identifier
1144553272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A109217
- Practice address
- 508 E Hickory Ave
Lompoc, CA 93436-7318 - Phone
- (805) 737-3333
- NPI assigned
- Sep 8, 2009
- Last updated
- Dec 9, 2009
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A109217 | CA | Primary |
Addresses
Primary practice location
508 E Hickory Ave
Lompoc, CA 93436-7318
Mailing address
3916 State St
#300
Santa Barbara, CA 93105-5602
Phone (805) 563-3011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109217 | CA | MD | Clinical Social Worker |
| A109217 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherman Oaks Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Valley Emergency Medical Associates, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
4929 Van Nuys Blvd
Van Nuys, CA 91403
Phone (818) 907-4561
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Sherman Oaks, CA
- NPI 1518904150
-
- Emergency Medicine Physician
- Van Nuys, CA
- NPI 1033133103
-
- Emergency Medicine Physician
- West Hills, CA
- NPI 1275761249
-
- Emergency Medicine Physician
- Panorama City, CA
- NPI 1407121080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1144553272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3916 STATE ST",
"address_2": "#300",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931055602",
"telephone_number": "805-563-3011",
"fax_number": "805-564-5087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 E HICKORY AVE",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934367318",
"telephone_number": "805-737-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGHADAM",
"first_name": "DANIEL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-08",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A109217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lompoc, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.