Shaida Moshrefi, D.C

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

26974 Issued in CA

Practice address

5225 Canyon Crest Drive Suite 17
Riverside, CA 92507

Phone

(951) 222-2002

Fax

(952) 686-8083

NPI assigned

Nov 14, 2006

Last updated

Sep 20, 2023By the provider in NPPES

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 names 1

• Shaida Mansoub Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Moshrefi Chiropractic Corporation

  • Health Maintenance Organization
  • Riverside, CA
  • NPI 1619115177
  Medicare reassignment

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1457423436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 CANYON CREST DRIVE SUITE 17",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92507",
            "telephone_number": "951-222-2002",
            "fax_number": "952-686-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 CANYON CREST DRIVE SUITE 17",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92507",
            "telephone_number": "951-222-2002",
            "fax_number": "952-686-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHREFI",
        "first_name": "SHAIDA",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "CA",
            "license": "26974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAIDA",
            "last_name": "MANSOUB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Moser
• Bertrand Moses, MSC
• Monique Cherie Moses, APRN
• Moshrefi Chiropractic Corporation
• Ben Moshrefi, D.C.
• Nia Aaleya Mosley
• Aaron Mosqueda
• Michelle Mosqueda
• Emmalee Grace Moss
• Jocelyn Kena Moss

• Internist Chiropractor in Riverside, CA
• Providers in Riverside, CA by specialty
• Internist Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.