Individual provider Active NPI

Christina Asal Moghadam, OD

  • Optometrist
  • Beverly Hills, CA
National Provider Identifier
1437689460
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34559 Issued in CA
Practice address
416 N Bedford Dr Ste 300
Beverly Hills, CA 90210-4309
Phone
(310) 273-2333
NPI assigned
Jun 13, 2017
Last updated
Apr 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008578 NY
Optometrist 152W00000X 34559 CA Primary

Addresses

Primary practice location

416 N Bedford Dr Ste 300
Beverly Hills, CA 90210-4309

Mailing address

1923 Selby Ave # 301
Los Angeles, CA 90025-5866
Phone (702) 480-8411

Other practice location 1

800 Poly Pl
Brooklyn, NY 11209-7104
Phone (718) 836-6600

Other practice location 2

8471 Beverly Blvd Ste 105
Los Angeles, CA 90048-3452
Phone (310) 360-8222

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210813002884 CA Practitioner - Optometry 8628317153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.19 of 100Reported as group
Quality
100
Improvement activities
40
Cost
70.65

Merit-based Incentive Payment System (MIPS)

Final score
92.51 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34559CAMDMarriage & Family Therapist
008578NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Vision Care a California General Partnership CurrentSince Sep 1, 2024 Accepting new patients
Santa Monica Medical Institute Inc CurrentSince Aug 1, 2021 Accepting new patients
Talin Amadian, OD, a Professional Corporation Optometrist Past Accepting new patients

Locations

2080 Century Park E
Ste 911
Los Angeles, CA 90067
Phone (310) 229-1220

1908 Santa Monica Blvd
Ste 3
Santa Monica, CA 90404
Phone (310) 582-9191

Organizations & group practices 3

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1437689460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 SELBY AVE # 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255866",
            "telephone_number": "702-480-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104309",
            "telephone_number": "310-273-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Poly Pl",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112097104",
            "country_code": "US",
            "telephone_number": "718-836-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8471 Beverly Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900483452",
            "country_code": "US",
            "telephone_number": "310-360-8222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOGHADAM",
        "first_name": "CHRISTINA",
        "middle_name": "ASAL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008578",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.