Soheil S Moghadam

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA 7354 Issued in CA

Practice address

4085 Atlantic Ave Ste D
Long Beach, CA 90807

Phone

(562) 988-9268

Fax

(562) 988-9319

NPI assigned

Jul 2, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sam Moghadam Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1669812889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 ATLANTIC AVE STE D",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072904",
            "telephone_number": "562-988-9268",
            "fax_number": "562-988-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 ATLANTIC AVE STE D",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90807",
            "telephone_number": "562-988-9268",
            "fax_number": "562-988-9319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16742 Gothard St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926474562",
            "country_code": "US",
            "telephone_number": "714-848-1236",
            "fax_number": "562-988-9319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOGHADAM",
        "first_name": "SOHEIL",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA 7354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "MOGHADAM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Hearing Instrument Specialist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.