Moussa Moshfegh MD, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A38055 Issued in CA

Legal business name

MOUSSA MOSHFEGH MD, INC

Practice address

6221 Wilshire Blvd
Suite # 404
Los Angeles, CA 90048-5201

Phone

(323) 933-3810

Fax

(323) 933-7522

NPI assigned

Aug 10, 2006

Last updated

Jun 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shida Moosighi

Title

Office Manager

Phone

(323) 933-3810

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Moussa Moshfegh, M.D.

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1326247404

  Specialist

  Medicare reassignment NPD

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1538170444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "SUITE # 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485201",
            "telephone_number": "323-933-3810",
            "fax_number": "323-933-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "SUITE # 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485201",
            "telephone_number": "323-933-3810",
            "fax_number": "323-933-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUSSA MOSHFEGH MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "MOOSIGHI",
        "authorized_official_first_name": "SHIDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-933-3810",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A38055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A380550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Nena Mourra, MD
• Vanad Mousakhani, MD
• Ava Mousavi, MD, MPH
• Farzin A Mousavi, DDS
• Hidemi Shitara Mousavi
• Omar Moussa, DDS
• Bahar Moussavian, MD
• Marwa Abdelmohsen Moustafa, MD
• Nehal Hamdi Ahmed Moustafa
• Melissa M Mouton-Jackson

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.