Active NPI
Ariel Moghadam, OTR/L
- Occupational Therapist
- Woodland Hills, CA
National Provider Identifier
1811756653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17205
- Practice address
- 19828 Haynes St
Woodland Hills, CA 91367-2818 - Phone
- (323) 608-7523
- NPI assigned
- Mar 14, 2024
- Last updated
- Mar 14, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17205 | CA | Primary |
Addresses
Primary practice location
19828 Haynes St
Woodland Hills, CA 91367-2818
Mailing address
19828 Haynes St
Woodland Hills, CA 91367-2818
Phone (323) 608-7523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17337 Hartland St
Van Nuys, CA 91406-4416
Phone (818) 383-4108
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17205 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buibui Rehabilitation Services LLC | Occupational Therapist | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Van Nuys, CA
- NPI 1013537323
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1811756653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19828 HAYNES ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913672818",
"telephone_number": "323-608-7523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19828 HAYNES ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913672818",
"telephone_number": "323-608-7523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGHADAM",
"first_name": "ARIEL",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-14",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "17205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.