Malalai S Mojaddidi, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT11371 Issued in CA

Practice address

1234 Empire St
Fairfield, CA 94533-5711

Phone

(707) 426-3911

Fax

(707) 436-2512

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Family Eye Associates Optometric Group, Inc.

  • Optometrist
  • Fairfield, CA
  • NPI 1528627932
  Medicare reassignment NPD Authorized official
• Family Eye Associates

  • Corneal and Contact Management Optometrist
  • Fairfield, CA
  • NPI 1871619973
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427146273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255668",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655668",
            "telephone_number": "800-470-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 EMPIRE ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335711",
            "telephone_number": "707-426-3911",
            "fax_number": "707-436-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJADDIDI",
        "first_name": "MALALAI",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT11371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0113710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Heather Mittelman, PHARMD
• Zahra Modaressi, DDS
• Mohan Bajwa DDS Inc
• Anne-Margaret Moises
• Haroon M Mojaddidi, M.D.
• Angelique Molano
• Michael Joseph Molina, LCSW
• Steven Molina
• Alexandra Christina Mollo
• Momentum for Mental Health - a.S.S.I.S.T. Solano Outpatient

• Optometrist in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.