Kourosh Moradi, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

21250 Califa St Ste 114
Woodland Hills, CA 91367-5023

Phone

(818) 518-3480

NPI assigned

May 15, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kourosh Moradi Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Elevated Healing Behavioral Health Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodland Hills, CA
  • NPI 1083467096
  NPD

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1386493906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21250 CALIFA ST STE 114",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913675023",
            "telephone_number": "818-518-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21250 CALIFA ST STE 114",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913675023",
            "telephone_number": "818-518-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORADI",
        "first_name": "KOUROSH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOUROSH",
            "last_name": "MORADI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Knacio Moore
• Lankavi Guneratne Moore, LMFT
• Yasmine Moorman
• Amanda Danielle Mora
• Risa Breeze Morabe
• Mehdi Moradiseresht
• Virginia Morales Sanchez
• Alicia Morales, BS
• Angel Morales
• Cassandra Morales

• Student in an Organized Health Care Education/Training Program in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.