Individual provider Active NPI

N. Nicole Moayeri, MD

  • Neurological Surgery Physician
  • Santa Barbara, CA
National Provider Identifier
1255419818
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G69761 Issued in CA
Practice address
2410 Fletcher Ave FL 3
Santa Barbara, CA 93105-4876
Phone
(805) 569-7820
Fax
(805) 569-7414
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X G69761 CA Primary

Addresses

Primary practice location

2410 Fletcher Ave FL 3
Santa Barbara, CA 93105-4876

Mailing address

PO Box 689
Santa Barbara, CA 93102-0689
Phone (805) 569-7820

Other identifiers 1

IdentifierTypeStateIssuer
00G697610MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address N.Nicole.Moayeri@410638715518980.direct.elationemr.com Health Information Exchange (HIE)

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
I20110221000443 CA Practitioner - NeurosurgeryPractitioner - Neurology 4981885225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Stanford University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cottage Medical FoundationGroup PAC ID 0547600512, 83 clinicians

Practice addresses (Care Compare)

5333 Hollister Ave
Suite 250
Goleta, CA 93111-2466
Phone (805) 879-4240

Hospital & facility affiliations

  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396
  • Santa Ynez Valley Cottage Hospital Hospital, Solvang, CA, CCN 051331
  • Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
88.23
Promoting interoperability
100
Improvement activities
40
Cost
73.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69761CAMDPharmacist
G69761CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cottage Medical Foundation CurrentSince Jul 1, 2025 Accepting new patients
Cottage Clinical Associates Neurological Surgery CurrentSince Apr 1, 2024 Accepting new patients
Sansum Clinic Past Accepting new patients

Locations

5333 Hollister Ave
Ste 250
Santa Barbara, CA 93111
Phone (805) 879-4240

2410 Fletcher Ave
Ste 302
Santa Barbara, CA 93105
Phone (805) 569-7820

5333 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 879-4272

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

4360 E Main St
Ste B2A
Ventura, CA 93003
Phone (805) 879-4240

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: n.nicole.moayeri@410638715518980.direct.elationemr.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1255419818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931020689",
            "telephone_number": "805-569-7820",
            "fax_number": "805-569-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 FLETCHER AVE FL 3",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054876",
            "telephone_number": "805-569-7820",
            "fax_number": "805-569-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAYERI",
        "first_name": "N. NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G69761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G697610",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "N.Nicole.Moayeri@410638715518980.direct.elationemr.com",
            "affiliation": "N",
            "endpointDescription": "Elation EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2410 Fletcher Ave Fl 3",
            "city": "Santa Barbara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931054876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.