Jasmine Marie Mogadam

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95250508 Issued in CA

Practice address

125 W Thousand Oaks Blvd
Thousand Oaks, CA 91360-4402

Phone

(818) 599-4050

NPI assigned

Jul 12, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1558040006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 CALLE PENSAMIENTO",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606724",
            "telephone_number": "818-599-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W THOUSAND OAKS BLVD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604402",
            "telephone_number": "818-599-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGADAM",
        "first_name": "JASMINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95250508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hasmik R. Mkhitaryan, PHARMD
• Shaghayegh Modarres Kamaly
• Lisa Ann Modera, DPT
• James A Modlinger, M.D.
• Susan F. Moein, D.C.
• Mogens U Wiese MD Inc
• Shima Mohammadi Zenouzi
• Sahar Mohammadi
• Sara Mohammadian, MD
• Gholam Reza Mohammadzadeh, MD

• Registered Nurse in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.