Active NPI
Sharareh Movafagh-Tofigh, M.D., PH.D.
- Internal Medicine Physician
- Moreno Valley, CA
National Provider Identifier
1669631016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A109434
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A109434 | CA | MD | Internal Medicine Physician |
| D0073119 | MD | MD | Internal 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
- Ali Motabar, M.D.
- Mountain Shadows Support Group, Inc
- Mountain Shadows Support Group, Inc
- Mountain Shadows Support Group, Inc.
- Mountain Shadows Support Group, Inc.
- Ali Mohammad Movafagh, MD
- Moval Healthcare Center Corporation
- Moval Physical Therapy
- Humberto Benjamin Moya, SOCIAL WORKER
- Yanina Linda Moya, P.A
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.