Active NPI
Samer Moghaddam, M.D.
- Internal Medicine Physician
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A122187
- Practice address
- 902 N Grand Ave
Santa Ana, CA 92701-4218 - Phone
- (949) 705-8485
- NPI assigned
- May 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A122187 | CA | Primary |
| Pulmonary Disease Physician | 207RP1001X | A121187 | CA |
Addresses
Primary practice location
902 N Grand Ave
Santa Ana, CA 92701-4218
Mailing address
17595 Harvard Ave Ste C146
Irvine, CA 92614-8516
Phone (949) 705-8485
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14023 Paramount Blvd
Paramount, CA 90723-2605
Phone (562) 286-6815
2776 Pacific Ave
Long Beach, CA 90806-2613
Phone (562) 997-2000
3650 S St
Suite 308
Lakewood, CA 90712-1518
Phone (562) 633-2204
3700 S St
Lakewood, CA 90712-1419
Phone (310) 698-5452
3751 Katella Ave
Los Alamitos, CA 90720-3113
Phone (562) 598-1311
3801 E Anaheim St
Long Beach, CA 90804-4004
Phone (562) 494-3311
9710 Artesia Blvd
Bellflower, CA 90706-6638
Phone (562) 925-2274
Hospital & facility affiliations
- Omnicare Home Health, Inc
- Uci Health-Orange
- Uci Health-Lakewood
- College Medical Center
- West Anaheim Medical Center
- Memorialcare Long Beach Medical Center
- Marlora Post Acute Rehab Hosp
- Rose Villa Health Care Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121187 | CA | MD | Marriage & Family Therapist |
| A122187 | CA | MD | Internal Medicine Physician |
| A121187 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samplex a Professional Corporation | Pulmonary Disease | Current | Accepting new patients |
| Excell Integrated Medical Group Inc | Current | Accepting new patients | |
| Arthur F Gelb Medical Corp | Pulmonary Disease | Current | Accepting new patients |
| Lakewood Hospitalist Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Southern California Pulmonologists and Intensivists Network | Pulmonary Disease | Past | Accepting new patients |
Locations
3700 South St
Lakewood, CA 90712
Phone (562) 424-2900
3650 South St
Ste 308
Lakewood, CA 90712
Phone (562) 633-2204
3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160
14023 Paramount Blvd
Paramount, CA 90723
Phone (562) 286-6815
Organizations & group practices 6
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.
-
- Pulmonary Disease Physician
- Lakewood, CA
- NPI 1851411540
-
- Family Medicine Physician
- Paramount, CA
- NPI 1659909521
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1447003983
-
- Pulmonary Disease Physician
- Lakewood, CA
- NPI 1215890983
-
- Internal Medicine Physician
- Santa Ana, CA
- NPI 1962978114
-
- Pulmonary Disease Physician
- Long Beach, CA
- NPI 1053852376
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1215373626
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
-
- Home Health Agency
- Torrance, CA
- NPI 1760724231
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1871501916
-
- General Acute Care Hospital
- Lakewood, CA
- NPI 1184655581
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1275700478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17595 HARVARD AVE STE C146",
"city": "IRVINE",
"state": "CA",
"postal_code": "926148516",
"telephone_number": "949-705-8485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 N GRAND AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014218",
"telephone_number": "949-705-8485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGHADDAM",
"first_name": "SAMER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-15",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A122187",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A121187",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.