Michael Reza Motamedi, RN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

40965 Grimmer Blvd
Fremont, CA 94538-2846

Phone

(510) 657-7425

Fax

(510) 252-6533

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1164579314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 KINGWOOD RD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946192346",
            "telephone_number": "510-336-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40965 GRIMMER BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382846",
            "telephone_number": "510-657-7425",
            "fax_number": "510-252-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTAMEDI",
        "first_name": "MICHAEL",
        "middle_name": "REZA",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "130743-030",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina D Moskovenko
• Myjana Mosley
• Maria Montserrat Mosqueda, LMFT
• Larson Moss
• Soheil Motamed, MD
• Micalia Moten, RBT
• Motivation Confidence Achievement Corporation
• Brandon Motta
• Rahul Sanjeev Motwani, MD
• Gaola Moua, MS ED COUNSELING PPS

• Mental Health Counselor in Fremont, CA
• Providers in Fremont, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.