Active NPI
Valerie Theresa Moradzadeh, NP
- Family Nurse Practitioner
- Cerritos, CA
National Provider Identifier
1891273439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95009423
- Practice address
- 12900 Park Plaza Dr
Cerritos, CA 90703 - Phone
- (562) 622-2800
- NPI assigned
- Aug 6, 2018
- Last updated
- Nov 15, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95009423 | CA | Primary |
Addresses
Primary practice location
12900 Park Plaza Dr
Cerritos, CA 90703
Mailing address
12900 Park Plaza Dr
Cerritos, CA 90703-9329
Other practice location 1
2353 Applewood Cir
Fullerton, CA 92833-1218
Phone (714) 514-0569
Other practice location 2
12900 Park Plaza Dr
Cerritos, CA 90703
Phone (562) 622-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1891273439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12900 PARK PLAZA DR",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907039329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12900 PARK PLAZA DR",
"city": "CERRITOS",
"state": "CA",
"postal_code": "90703",
"telephone_number": "562-622-2800"
}
],
"practiceLocations": [
{
"address_1": "2353 Applewood Cir",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "928331218",
"country_code": "US",
"telephone_number": "714-514-0569",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12900 Park Plaza Dr",
"address_purpose": "LOCATION",
"city": "Cerritos",
"state": "CA",
"postal_code": "90703",
"country_code": "US",
"telephone_number": "562-622-2800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORADZADEH",
"first_name": "VALERIE",
"middle_name": "THERESA",
"name_prefix": "Miss",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95009423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.