Individual provider Active NPI

Hassan A Moinzadeh, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Long Beach, CA
National Provider Identifier
1659301968
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G79242 Issued in CA
Practice address
2840 Long Beach Blvd
130
Long Beach, CA 90806-1516
Phone
(562) 424-8111
Fax
(562) 492-6830
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X G79242 CA Primary

Addresses

Primary practice location

2840 Long Beach Blvd
130
Long Beach, CA 90806-1516

Mailing address

2840 Long Beach Blvd
130
Long Beach, CA 90806-1516
Phone (562) 424-8111

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G79242CAMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659301968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 LONG BEACH BLVD",
            "address_2": "130",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061516",
            "telephone_number": "562-424-8111",
            "fax_number": "562-492-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 LONG BEACH BLVD",
            "address_2": "130",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061516",
            "telephone_number": "562-424-8111",
            "fax_number": "562-492-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOINZADEH",
        "first_name": "HASSAN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G79242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.