Individual provider Active NPI

Sharareh Movafagh-Tofigh, M.D., PH.D.

  • Internal Medicine Physician
  • Moreno Valley, CA
National Provider Identifier
1669631016
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A109434 Issued in CA
Practice address
12712 Heacock St Ste 1
Moreno Valley, CA 92553-3037
Phone
(951) 485-0335
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0073119 MD
Internal Medicine Physician 207R00000X A109434 CA Primary

Addresses

Primary practice location

12712 Heacock St Ste 1
Moreno Valley, CA 92553-3037

Mailing address

12712 Heacock St Ste 1
Moreno Valley, CA 92553-3037
Phone (951) 485-0335

Other names 1

  • Sharareh Movafagh Former name

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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A109434CAMDInternal Medicine Physician
D0073119MDMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1669631016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12712 HEACOCK ST STE 1",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533037",
            "telephone_number": "951-485-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12712 HEACOCK ST STE 1",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533037",
            "telephone_number": "951-485-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOVAFAGH-TOFIGH",
        "first_name": "SHARAREH",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0073119",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A109434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARAREH",
            "last_name": "MOVAFAGH",
            "credential": "M.D., PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.