Active NPI
Moran Shoham
- Student in an Organized Health Care Education/Training Program
- Palo Alto, CA
National Provider Identifier
1558902502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 650 Clark Way
Palo Alto, CA 94304-2300 - Phone
- (650) 617-3822
- NPI assigned
- Oct 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
650 Clark Way
Palo Alto, CA 94304-2300
Mailing address
650 Clark Way
Palo Alto, CA 94304-2300
Phone (650) 617-3822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 941312311 | Medicaid | CA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mshoham@chconline.org | Direct | |
| Direct Messaging Address | mshoham@chconline.org | Direct |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1558902502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 CLARK WAY",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943042300",
"telephone_number": "650-617-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 CLARK WAY",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943042300",
"telephone_number": "650-617-3822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOHAM",
"first_name": "MORAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-01",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "941312311",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mshoham@chconline.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "650 Clark Way",
"city": "Palo Alto",
"state": "CA",
"country_code": "US",
"postal_code": "943042300",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mshoham@chconline.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "650 Clark Way",
"city": "Palo Alto",
"state": "CA",
"country_code": "US",
"postal_code": "943042300",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.