NPIMap

Individual provider Active NPI

Sepideh Moayed, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • San Jose, CA
National Provider Identifier
1295709046
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
A77967 Issued in CA
Practice address
2242 Camden Ave Ste 203
San Jose, CA 95124-2029
Phone
(408) 992-5141
Fax
(408) 796-7492
NPI assigned
Feb 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X A77967 CA
Diagnostic Radiology Physician 2085R0202X A77967 CA
Diagnostic Ultrasound Physician 2085U0001X A77967 CA
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
Addiction Medicine (Preventive Medicine) Physician 2083A0300X A77967 CA Primary
Body Imaging Physician 2085B0100X A77967 CA
Sports Medicine (Preventive Medicine) Physician 2083S0010X A77967 CA
Neuroradiology Physician 2085N0700X A77967 CA

Addresses

Primary practice location

2242 Camden Ave Ste 203
San Jose, CA 95124-2029

Mailing address

2242 Camden Ave Ste 203
San Jose, CA 95124-2029
Phone (408) 992-5141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422000863 CA Practitioner - Preventive Medicine 4688578685 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Hahneman Medical College of the Pacific, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silicon Valley Diagnostic Imaging IncGroup PAC ID 5496838518, 78 clinicians
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

27200 Carrington Cir
Los Altos Hills, CA 94022-4300
Phone (650) 940-7173

470 San Benito Ave
Apt a
Los Gatos, CA 95030-5330
Phone (818) 639-2901

625 Lincoln Ave
San Jose, CA 95126-3785
Phone (408) 871-3400

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308
  • Northbay Medical Center Hospital, Fairfield, CA, CCN 050367
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
80.12
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77967CAMDPharmacist
A77970CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Nov 16, 2025 Accepting new patients
Preventative Medicine Inc Addiction Medicine CurrentSince May 1, 2020 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Feb 23, 2023 Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Feb 29, 2024 Accepting new patients
Temple University of the Commonwealth System of Higher Education Past Accepting new patients
Imaging Professionals of Pennsylvania PC Diagnostic Radiology Past Accepting new patients
Mirage Imaging Professional Corporation Magnetic Resonance Imaging (MRI) PastSince Feb 26, 2023 Accepting new patients
El Camino Health Medical Group Past Accepting new patients
Temple University Hospital, Inc Past Accepting new patients
Temple University of the Commonwealth System of Higher Education Past Accepting new patients
Valley Radiology Medical Associates, Inc. Past Accepting new patients

Locations

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

47111 Monroe St
#1112
Indio, CA 92201

16400 Lark Ave
Ste 100
Los Gatos, CA 95032
Phone (408) 358-2805

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

5860 Owens Dr
Ste 150
Pleasanton, CA 94588
Phone (925) 467-1400

828 S Winchester Blvd
San Jose, CA 95128
Phone (408) 866-4000

2242 Camden Ave
Ste 203
San Jose, CA 95124
Phone (408) 250-9667

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

7777 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8442

Organizations & group practices 11

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 11

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1295709046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 CAMDEN AVE STE 203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242029",
            "telephone_number": "408-992-5141",
            "fax_number": "408-796-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 CAMDEN AVE STE 203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242029",
            "telephone_number": "408-992-5141",
            "fax_number": "408-796-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAYED",
        "first_name": "SEPIDEH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CA",
            "license": "A77967",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A77967",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "A77967",
            "primary": false
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A77967",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "A77967",
            "primary": false
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "CA",
            "license": "A77967",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A77967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.