Individual provider Active NPI

Mojgan Moshtael, PH.D.

  • Psychologist
  • Redondo Beach, CA
National Provider Identifier
1780810382
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
326 S Pacific Coast Hwy
Redondo Beach, CA 90277
Phone
(310) 855-3288
NPI assigned
Jun 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

326 S Pacific Coast Hwy
Redondo Beach, CA 90277

Mailing address

PO Box 641614
Los Angeles, CA 90064-6614
Phone (310) 855-3288

Other practice location 1

9535 Reseda Blvd Ste 112
Northridge, CA 91324-6022
Phone (310) 855-3288

Other practice location 2

326 S Pacific Coast Hwy
Redondo Beach, CA 90277-3737
Phone (310) 855-3288

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 Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1780810382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641614",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900646614",
            "telephone_number": "310-855-3288",
            "fax_number": "310-855-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 S PACIFIC COAST HWY",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90277",
            "telephone_number": "310-855-3288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9535 Reseda Blvd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913246022",
            "country_code": "US",
            "telephone_number": "310-855-3288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 S Pacific Coast Hwy",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902773737",
            "country_code": "US",
            "telephone_number": "310-855-3288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSHTAEL",
        "first_name": "MOJGAN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.