Individual provider Active NPI

Haileab M Mosazghi

  • Driver
  • Oakland, CA
National Provider Identifier
1568069623
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
215 W Macarthur Blvd Apt 512
Oakland, CA 94611-5338
Phone
(510) 227-4453
NPI assigned
Oct 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X CA Primary

Addresses

Primary practice location

215 W Macarthur Blvd Apt 512
Oakland, CA 94611-5338

Mailing address

215 W Macarthur Blvd Apt 512
Oakland, CA 94611-5338
Phone (510) 227-4453

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": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1568069623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W MACARTHUR BLVD APT 512",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115338",
            "telephone_number": "510-227-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W MACARTHUR BLVD APT 512",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115338",
            "telephone_number": "510-227-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSAZGHI",
        "first_name": "HAILEAB",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.