Mojdeh Tabibian, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA56021 Issued in CA

Practice address

7230 Medical Center Dr Ste 404
West Hills, CA 91307-4016

Phone

(818) 592-6005

Fax

(818) 592-6088

NPI assigned

Sep 24, 2018

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• West Hills Dermatology Group a Medical Corporation

  • Procedural Dermatology Physician
  • West Hills, CA
  • NPI 1487707097
  Medicare reassignment

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1558845792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 404",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074016",
            "telephone_number": "818-592-6005",
            "fax_number": "818-592-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 404",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074016",
            "telephone_number": "818-592-6005",
            "fax_number": "818-592-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABIBIAN",
        "first_name": "MOJDEH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jomana K Sweiss, PSY.D.
• Jeremy Ryan Swisher, MD
• Ruth Swissa
• Ehtesham U Syed, M.D.
• Synergy Health Medical Group
• Maryam Tafti, REGISTERED DIETITIAN
• Taho Medical Group
• Robert James Tamai
• Tessa Isabella Tejero-Bingham, PA-C
• Magdalena Tesmer, D.O.

• Physician Assistant in West Hills, CA
• Providers in West Hills, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.