Individual provider Active NPI

Stevan Sami Moshi

  • Dental Hygienist
  • El Cajon, CA
National Provider Identifier
1205744265
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
1267 Issued in CA
Practice address
913 Stoneys LN
El Cajon, CA 92021-7700
Phone
(619) 292-9518
NPI assigned
Aug 31, 2026
Last updated
Oct 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 1267 CA Primary

Addresses

Primary practice location

913 Stoneys LN
El Cajon, CA 92021-7700

Mailing address

913 Stoneys LN
El Cajon, CA 92021-7700
Phone (619) 292-9518

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.sandiegomobiledentalhygienist.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1267CAMDDance Therapist

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793059200000",
    "number": "1205744265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 STONEYS LN",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920217700",
            "telephone_number": "619-292-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 STONEYS LN",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920217700",
            "telephone_number": "619-292-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHI",
        "first_name": "STEVAN",
        "middle_name": "SAMI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "1267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.sandiegomobiledentalhygienist.com/",
            "affiliation": "N",
            "endpointDescription": "Official Practice Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "General Information",
            "address_1": "913 Stoneys Ln",
            "city": "El Cajon",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920217700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; 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.