NPIMap

Organization Active NPI

Jasmine Moghissi, M.D., P.C.

  • Family Medicine Physician
  • Fairfax, VA
National Provider Identifier
1467644310
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101044043 Issued in VA
Legal business name
JASMINE MOGHISSI, M.D., P.C.
Practice address
9401 Lee Hwy
Suite 302
Fairfax, VA 22031-1849
Phone
(703) 281-5560
Fax
(703) 281-5568
NPI assigned
Aug 15, 2007
Last updated
Aug 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Authorized official

Name
Dr. Jasmine Moghissi, MDNPI 1407860794
Title
President
Phone
(703) 281-5560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101044043 VA Primary

Addresses

Primary practice location

9401 Lee Hwy
Suite 302
Fairfax, VA 22031-1849

Mailing address

9401 Lee Hwy
Suite 302
Fairfax, VA 22031-1849
Phone (703) 281-5560

Other identifiers 1

IdentifierTypeStateIssuer
DF2854 / P00353016OtherMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1467644310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 LEE HWY",
            "address_2": "SUITE 302",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311849",
            "telephone_number": "703-281-5560",
            "fax_number": "703-281-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 LEE HWY",
            "address_2": "SUITE 302",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311849",
            "telephone_number": "703-281-5560",
            "fax_number": "703-281-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASMINE MOGHISSI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "MOGHISSI",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-281-5560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101044043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DF2854 / P00353016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.