Active NPI
Abdollah Moshrefi, D.D.S., M.S.
- Periodontics
- Long Beach, CA
National Provider Identifier
1871707158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 46300
- Practice address
- 3903 Long Beach Blvd
Long Beach, CA 90807-2614 - Phone
- (562) 427-2478
- Fax
- (562) 981-9258
- NPI assigned
- May 9, 2007
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 46300 | CA | Primary |
Addresses
Primary practice location
3903 Long Beach Blvd
Long Beach, CA 90807-2614
Mailing address
3903 Long Beach Blvd.
Long Beach, CA 90807-2614
Phone (562) 427-2478
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)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daneshmand and Moshrefi, D.D.S., Inc. | Past | 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 and National Provider Directory roles.
-
- Dentist
- Long Beach, CA
- NPI 1104030741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348099200000",
"number": "1871707158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3903 LONG BEACH BLVD.",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908072614",
"telephone_number": "562-427-2478",
"fax_number": "562-981-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3903 LONG BEACH BLVD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908072614",
"telephone_number": "562-427-2478",
"fax_number": "562-981-9258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSHREFI",
"first_name": "ABDOLLAH",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2012-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "46300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.