Active NPI
Mona Moshtaghi, OD
- Optometrist
- Encinitas, CA
National Provider Identifier
1730609181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34474TLG
- Practice address
- 477 N El Camino Real Ste C202
Encinitas, CA 92024-1332 - Phone
- (760) 631-3500
- Fax
- (760) 753-5150
- NPI assigned
- Jun 26, 2017
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9244T | TX | |
| Optometrist | 152W00000X | 34474TLG | CA | Primary |
Addresses
Primary practice location
477 N El Camino Real Ste C202
Encinitas, CA 92024-1332
Mailing address
PO Box 12125
La Jolla, CA 92039-2125
Phone (858) 922-9971
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
477 N El Camino Real
Suite C202
Encinitas, CA 92024-1332
Phone (760) 631-3500
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.31 of 100
- Quality
- 93.27
- Improvement activities
- 40
- Cost
- 76.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34474 | CA | MD | Chiropractor |
| 9244 | TX | MD | General Practice Dentistry |
| 34474TLG | CA | MD | Optometrist |
| 9244T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare Solutions Inc | Current | Accepting new patients |
Locations
477 N El Camino Real
Ste C202
Encinitas, CA 92024
Phone (760) 631-3500
1930 Via Ctr
Vista, CA 92081
Phone (760) 631-3500
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mona.moshtaghi.d1.p1@direct.morriseyegroup.nextgenshare.com
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Encinitas, CA
- NPI 1467519470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1730609181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12125",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920392125",
"telephone_number": "858-922-9971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 N EL CAMINO REAL STE C202",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920241332",
"telephone_number": "760-631-3500",
"fax_number": "760-753-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSHTAGHI",
"first_name": "MONA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9244T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34474TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.