Individual provider Active NPI

Mona Moshtaghi, OD

  • Optometrist
  • Encinitas, CA
National Provider Identifier
1730609181
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34474TLG Issued in CA
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

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211008002695 CA Practitioner - Optometry 6901170828 Reassigns benefits to 1 organization

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
Eyecare Solutions IncGroup PAC ID 5193619021, 6 clinicians

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 100Reported as group
Quality
93.27
Improvement activities
40
Cost
76.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34474CAMDChiropractor
9244TXMDGeneral Practice Dentistry
34474TLGCAMDOptometrist
9244TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Solutions Inc CurrentSince Nov 3, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.