Individual provider Active NPI

Shabnam Majidian Moss, DO

  • Anesthesiology Physician
  • Spokane, WA
National Provider Identifier
1407103906
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A13383 Issued in CA
Practice address
601 W 5TH Ave Ste 500
Spokane, WA 99204-2756
Phone
(509) 344-2663
NPI assigned
Aug 14, 2012
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20A13383 CA Primary

Addresses

Primary practice location

601 W 5TH Ave Ste 500
Spokane, WA 99204-2756

Mailing address

601 W 5TH Ave Ste 400
Spokane, WA 99204-2715
Phone (509) 344-2663

Other practice location 1

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (800) 888-2186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160902001026 CA Practitioner - Anesthesiology 0547556342 Reassigns benefits to 2 organizations
I20250618004092 WA Practitioner - Anesthesiology 0547556342 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A13383CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Outpatient Anesthesia PLLC Anesthesiology CurrentSince Dec 8, 2025 Accepting new patients
Northwest Orthopaedic Specialists, P.S. CurrentSince Jun 5, 2025 Accepting new patients
California Anesthesia Associates Medical Group, Inc. Anesthesiology CurrentSince Jun 9, 2019 Accepting new patients
Westside Anesthesia Services Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Northwest Orthopaedic Specialists PS CurrentSince Jun 5, 2025 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations (25 of 26)

120 S Spalding Dr
Ste 115
Beverly Hills, CA 90212
Phone (310) 385-7755

120 S Spalding Dr
Ste 200
Beverly Hills, CA 90212
Phone (310) 550-7766

120 S Spalding Dr
Ste 205
Beverly Hills, CA 90212
Phone (310) 273-8002

120 S Spalding Dr
Ste 402
Beverly Hills, CA 90212
Phone (310) 260-1400

150 N Robertson Blvd
Ste 110
Beverly Hills, CA 90211
Phone (310) 424-9507

8670 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone (310) 275-1646

8750 Wilshire Blvd
Ste 150
Beverly Hills, CA 90211
Phone (310) 461-1122

8920 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 360-9119

8929 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 854-0283

16311 Ventura Blvd
Ste 570
Encino, CA 91436
Phone (805) 969-5500

16311 Ventura Blvd
Ste 580
Encino, CA 91436
Phone (818) 986-1037

24451 Health Center Dr
#104
Laguna Hills, CA 92653

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

2880 Atlantic Ave
Ste 160
Long Beach, CA 90806
Phone (562) 453-3814

6000 San Vicente Blvd
Los Angeles, CA 90036
Phone (310) 832-2622

6801 Park Ter
Ste 300
Los Angeles, CA 90045
Phone (310) 655-7200

8436 W 3rd St
Ste 700
Los Angeles, CA 90048
Phone (310) 274-8228

1200 Rosecrans Ave
Ste 110
Manhattan Beach, CA 90266
Phone (424) 220-4400

400 S Sepulveda Blvd
Ste 200
Manhattan Beach, CA 90266
Phone (310) 546-3461

4551 Glencoe Ave
Ste 145
Marina del Rey, CA 90292
Phone (310) 426-8206

3501 Jamboree Rd
Ste 1200
Newport Beach, CA 92660
Phone (949) 988-7800

32144 Agoura Rd
Ste 200
Westlake Village, CA 91361
Phone (310) 218-4502

217 W Cataldo Ave
Spokane, WA 99201
Phone (509) 624-2326

601 W 5th Ave
Ste 400
Spokane, WA 99204
Phone (509) 344-2663

601 W 5th Ave
Ste 500
Spokane, WA 99204
Phone (509) 344-2663

Interoperability endpoints

  • Direct secure messaging: shabnam.moss.1@16598.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1407103906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 5TH AVE STE 400",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042715",
            "telephone_number": "509-344-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 5TH AVE STE 500",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042756",
            "telephone_number": "509-344-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061701",
            "country_code": "US",
            "telephone_number": "800-888-2186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "SHABNAM",
        "middle_name": "MAJIDIAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A13383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.