Active NPI
Mojdeh Motamedi
- Clinical Child & Adolescent Psychologist
- San Diego, CA
National Provider Identifier
1407378706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 31860
- Practice address
- 7364 El Cajon Blvd Ste 102
San Diego, CA 92115-1849 - Phone
- (858) 208-0786
- NPI assigned
- Jul 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 31860 | CA | Primary |
Addresses
Primary practice location
7364 El Cajon Blvd Ste 102
San Diego, CA 92115-1849
Mailing address
7364 El Cajon Blvd Ste 102
San Diego, CA 92115-1849
Phone (858) 208-0786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31860 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1407378706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7364 EL CAJON BLVD STE 102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921151849",
"telephone_number": "858-208-0786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7364 EL CAJON BLVD STE 102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921151849",
"telephone_number": "858-208-0786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTAMEDI",
"first_name": "MOJDEH",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-09",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "31860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.