Mojgan Ebadi, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A61584 Issued in CA

Practice address

1690 Woodside Rd
#102
Redwood City, CA 94061-3497

Phone

(650) 568-5800

Fax

(650) 568-5802

NPI assigned

Nov 1, 2006

Last updated

Jun 9, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sequoia Hospital Hospital, Redwood City, CA, CCN 050197

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Sequoia Health Services

  dba Sequoia Hospital

  • General Acute Care Hospital
  • Redwood City, CA
  • NPI 1235172057
  NPD (past)

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

• Dignity Community Care

  dba Sequoia Hospital

  • General Acute Care Hospital
  • Redwood City, CA
  • NPI 1568646735
  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1285712257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 WOODSIDE RD",
            "address_2": "#102",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613497",
            "telephone_number": "650-568-5800",
            "fax_number": "650-568-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 WOODSIDE RD",
            "address_2": "#102",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613497",
            "telephone_number": "650-568-5800",
            "fax_number": "650-568-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBADI",
        "first_name": "MOJGAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A615840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Alan Eagleston
• Ear Nose and Throat Medical Group
• Wayne L. Easter, MD
• Sarah Easton, LCSW
• Jacqueline Marie Eaton, MFT-I
• Manuel Victor Ebejer, CATC INTERN
• Meihua Eddy
• Edgewood Center for Children and Families
• Edgewood Suites
• Allen D. Efron, MD

• Internal Medicine Physician in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.

Verify at the official NPI Registry.