Individual provider Active NPI

Eimaneh Mostofian, M.D.

  • General Practice Physician
  • San Diego, CA
National Provider Identifier
1154477628
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A97181 Issued in CA
Practice address
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone
(619) 532-7295
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A97181 CA Primary

Addresses

Primary practice location

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Mailing address

2050 Camino de la Reina Unit 110
San Diego, CA 92108-5515
Phone (619) 929-8652

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121130000182 CA Practitioner - Obstetrics/Gynecology 6204088016 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Geisel School of Medicine at Dartmouth, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North County Health Project IncGroup PAC ID 2769390939, 56 clinicians

Practice addresses (Care Compare)

1130 2ND St
Encinitas, CA 92024-5008
Phone (760) 736-6766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North County Health Project Inc CurrentSince Dec 3, 2012 Accepting new patients
North County Health Project Inc Current Accepting new patients
North County Health Project Inc CurrentSince Dec 3, 2012 Accepting new patients
DHP of California Medical Group Inc CurrentSince Mar 14, 2022 Accepting new patients
Obhg California, P.C. CurrentSince May 31, 2022 Accepting new patients
Palomar Health Past Accepting new patients
Tri-City Hospital Past Accepting new patients

Locations

1130 2nd St
Encinitas, CA 92024
Phone (760) 753-7842

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

150 Valpreda Rd
San Marcos, CA 92069
Phone (619) 736-6700

Interoperability endpoints

  • Direct secure messaging: emostofian312840@direct.ochin.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154477628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 CAMINO DE LA REINA UNIT 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085515",
            "telephone_number": "619-929-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341098",
            "telephone_number": "619-532-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTOFIAN",
        "first_name": "EIMANEH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A97181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.