Oc Lifestyle and Obesity Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OC LIFESTYLE AND OBESITY MEDICINE

Doing business as

OC Lifestyle Medicine

Practice address

500 S Anaheim Hills Rd Ste 246
Anaheim, CA 92807-4760

Phone

(951) 258-4596

NPI assigned

Mar 19, 2024

Last updated

Mar 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sadia F Moinuddin, MDNPI 1912293317

Title

Ceo

Phone

(951) 258-4596

Specialties & licenses 2

Addresses

Other names 1

• OC Lifestyle Medicine Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sadia Fatima Moinuddin, MD

  • Internal Medicine Physician
  • Upland, CA
  • NPI 1912293317
  NPD Authorized official

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1164282190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 N FAIRBURY LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072531",
            "telephone_number": "951-258-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD STE 246",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074760",
            "telephone_number": "951-258-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC LIFESTYLE AND OBESITY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "MOINUDDIN",
        "authorized_official_first_name": "SADIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-258-4596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OC Lifestyle Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.