Active NPI
Kian Moini, M.D., PHARM.D.
- Family Medicine Physician
- Bakersfield, CA
National Provider Identifier
1205964574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A52617
- Practice address
- 300 Old River Rd
Suite 110
Bakersfield, CA 93311-9503 - Phone
- (661) 665-0184
- Fax
- (661) 665-8219
- NPI assigned
- Mar 1, 2007
- Last updated
- Aug 27, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A52617 | CA | Primary |
Addresses
Primary practice location
300 Old River Rd
Suite 110
Bakersfield, CA 93311-9503
Mailing address
300 Old River Rd
Suite 110
Bakersfield, CA 93311-9503
Phone (661) 665-0184
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
- Credentials
- Doctor of Medicine, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A52617 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1205964574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 OLD RIVER RD",
"address_2": "SUITE 110",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933119503",
"telephone_number": "661-665-0184",
"fax_number": "661-665-8219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 OLD RIVER RD",
"address_2": "SUITE 110",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933119503",
"telephone_number": "661-665-0184",
"fax_number": "661-665-8219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOINI",
"first_name": "KIAN",
"name_prefix": "Dr.",
"credential": "M.D., PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A52617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.