Individual provider Active NPI

Samer Moghaddam, M.D.

  • Internal Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1275700478
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A122187 Issued in CA
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

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140728000206 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7618193749 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excell Integrated Medical Group IncGroup PAC ID 1557782349, 16 clinicians
Arthur F Gelb Medical CorpGroup PAC ID 6709949852, 3 clinicians
Lakewood Hospitalist Medical Group IncGroup PAC ID 4981141496, 23 clinicians

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 Home health agency, Torrance, CA, CCN 059688
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581
  • College Medical Center Hospital, Long Beach, CA, CCN 050776
  • West Anaheim Medical Center Hospital, Anaheim, CA, CCN 050426
  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
  • Marlora Post Acute Rehab Hosp Nursing home, Long Beach, CA, CCN 056234
  • Rose Villa Health Care Center Nursing home, Bellflower, CA, CCN 056104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121187CAMDMarriage & Family Therapist
A122187CAMDInternal Medicine Physician
A121187CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samplex a Professional Corporation Pulmonary Disease CurrentSince Dec 27, 2025 Accepting new patients
Excell Integrated Medical Group Inc CurrentSince Feb 1, 2022 Accepting new patients
Arthur F Gelb Medical Corp Pulmonary Disease CurrentSince Feb 14, 2024 Accepting new patients
Lakewood Hospitalist Medical Group, Inc Internal Medicine CurrentSince Nov 18, 2024 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.

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.