Individual provider Active NPI

Nima Moezzi

  • Pharmacist
  • Woodland Hills, CA
National Provider Identifier
1902498710
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
83691 Issued in CA
Practice address
5565 Canoga Ave Apt 312
Woodland Hills, CA 91367-6654
Phone
(818) 438-2229
NPI assigned
Feb 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 83691 CA Primary

Addresses

Primary practice location

5565 Canoga Ave Apt 312
Woodland Hills, CA 91367-6654

Mailing address

5565 Canoga Ave Apt 312
Woodland Hills, CA 91367-6654
Phone (818) 438-2229

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

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1902498710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 CANOGA AVE APT 312",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676654",
            "telephone_number": "818-438-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 CANOGA AVE APT 312",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676654",
            "telephone_number": "818-438-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEZZI",
        "first_name": "NIMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "83691",
            "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 Feb 3, 2021; 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.