Mojgan Moghaddam, L.AC., PH.D.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

5714 Issued in CA

Practice address

1610 Blossom Hill Rd Ste 3
San Jose, CA 95124-6349

Phone

(408) 800-5372

NPI assigned

Nov 13, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523664000000",
    "number": "1346311834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 SHELBY CREEK LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951204260",
            "telephone_number": "408-600-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 BLOSSOM HILL RD STE 3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951246349",
            "telephone_number": "408-800-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGHADDAM",
        "first_name": "MOJGAN",
        "name_prefix": "Mrs.",
        "credential": "L.AC., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2018-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "5714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdelsalam Mogasbe, M.D
• Barkoat Moges
• Eyerusalem Moges, PAC
• Saron Moges
• Charles E Moggia, DDS
• Athena Moguel
• Heather Mogul
• Amina Mohabbat
• Ayesha S Mohamed, D.D.S.
• Leyla Ali Mohamed

• Acupuncturist in San Jose, CA
• Providers in San Jose, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.