Shadab Moini

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

845 San Remo
Irvine, CA 92606-8210

Phone

(949) 422-3814

NPI assigned

Jul 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: smoini1185967@direct.uclahealth.org

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.

• Orthopaedic Hospital Medical Group Inc

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1942300918
  Medicare reassignment
• Orthopaedic Hospital

  • Home Infusion Agency
  • Los Angeles, CA
  • NPI 1689632374
  NPD

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1720712839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 SAN REMO",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068210",
            "telephone_number": "949-422-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 SAN REMO",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068210",
            "telephone_number": "949-422-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOINI",
        "first_name": "SHADAB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SMOINI@USC.EDU",
            "affiliation": "N",
            "endpointDescription": "SCHOOL EMAIL",
            "address_1": "845 San Remo",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926068210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mohsen S. Alinaghian OD Inc
• Hanieh Mohtashami
• Rashmi Moily, MS, MBBS
• Farzaneh Moin
• Kiana Moin, DPT
• Sofia Mari Moisa
• Sara Mojtahedi, DDS
• Pari Mokhtari
• Sarojini Devi Mokshagundam
• Molina Prosthetics & Orthotics

• Student in an Organized Health Care Education/Training Program in Irvine, CA
• Providers in Irvine, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.