Individual provider Active NPI

Nazzi Mojibi, MD

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1497864649
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A81331 Issued in CA
Practice address
7050 N Recreation Ave Ste 102
Fresno, CA 93720-8001
Phone
(559) 322-2918
Fax
(559) 322-2936
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A81331 CA Primary

Addresses

Primary practice location

7050 N Recreation Ave Ste 102
Fresno, CA 93720-8001

Mailing address

7050 N Recreation Ave Ste 102
Fresno, CA 93720-8001
Phone (559) 322-2918

Other identifiers 1

IdentifierTypeStateIssuer
00A813310MedicaidCA

Other names 1

  • Nazzi Mojibi Waldrop Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A81331CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Children'S Hospital Past Accepting new patients
Chestnut Pediatrics Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1497864649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 N RECREATION AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208001",
            "telephone_number": "559-322-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 N RECREATION AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208001",
            "telephone_number": "559-322-2918",
            "fax_number": "559-322-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJIBI",
        "first_name": "NAZZI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A81331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A813310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAZZI",
            "last_name": "MOJIBI WALDROP",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.