Active NPI
Christina Asal Moghadam, OD
- Optometrist
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34559
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.19 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 70.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.51 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34559 | CA | MD | Marriage & Family Therapist |
| 008578 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Vision Care a California General Partnership | Current | Accepting new patients | |
| Santa Monica Medical Institute Inc | Current | 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.
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1073816070
-
- Ophthalmology Physician
- Santa Monica, CA
- NPI 1538351283
-
dba Woodley Optometry
- Optometrist
- Encino, CA
- NPI 1821533647
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.