Babak Moeinolmolki, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

D63791 Issued in MD

Practice address

1215 Brockton Ave
Ste 205
Los Angeles, CA 90025-1372

Phone

(310) 694-4486

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Beverly Century Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
  • NPI 1255913661
  NPD (past) Authorized official
• Pacific Surgical Care

  • Surgical Critical Care Physician
  • Los Angeles, CA
  • NPI 1104461300
  NPD
• Precision Surgical Solutions

  • Plastic Surgery Physician
  • Los Angeles, CA
  • NPI 1164943460
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1629003264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 1508",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-694-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 BROCKTON AVE",
            "address_2": "STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251372",
            "telephone_number": "310-694-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEINOLMOLKI",
        "first_name": "BABAK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D63791",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A92803",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "29841",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DC",
            "license": "MD034439",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "233310",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409412300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Gilbert Moe, PHD, MD
• Kristine Hren Moe
• Travis William Moe
• Neal P Moehrle, MD
• Babak Moein Vaziri, M.D.
• Michelle Moeljadi, CCC
• Andrea P Moeller, PT
• Kirstin Claudia Moerk, PH.D.
• Madeline Grace Moersch, LCSW
• Yoselin Odemarys Moetamedi Garcia

• Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.