Active NPI
Shahriare Nasser-Moaddeli, M.D.
- Nephrology Physician
- Whittier, CA
National Provider Identifier
1902811391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A51518
- Practice address
- 12462 Putnam St.
Suite 506
Whittier, CA 90602-1002 - Phone
- (562) 698-8141
- Fax
- (562) 698-9885
- NPI assigned
- Jul 31, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A51518 | CA | |
| Nephrology Physician | 207RN0300X | A51518 | CA | Primary |
Addresses
Primary practice location
12462 Putnam St.
Suite 506
Whittier, CA 90602-1002
Mailing address
P.O. Box 511
Whittier, CA 90608-0511
Phone (562) 698-8141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12462 Putnam St
Suite 506
Whittier, CA 90602-1049
Phone (562) 698-8141
Hospital & facility affiliations
- RC Home Healthcare Inc
- Pih Health Hospital-Whittier
- Pih Health Downey Hospital
- Socal Post-Acute Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercommunity Dialysis Services | Current | Accepting new patients | |
| Intercommunity Dialysis Center-la Mirada | Current | Accepting new patients | |
| Pih Health Whittier Hospital | Past | Accepting new patients | |
| Ahmc Whittier Hospital Medical Center LP | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
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.
-
- Nephrology Physician
- Whittier, CA
- NPI 1659485589
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- La Mirada, CA
- NPI 1114461043
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Whittier, CA
- NPI 1548311202
-
- Medicare Defined Swing Bed Hospital Unit
- Whittier, CA
- NPI 1497855605
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Downey, CA
- NPI 1265433551
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
-
- Home Health Agency
- Upland, CA
- NPI 1215079835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1902811391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 511",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906080511",
"telephone_number": "562-698-8141",
"fax_number": "562-698-9885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12462 PUTNAM ST.",
"address_2": "SUITE 506",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906021002",
"telephone_number": "562-698-8141",
"fax_number": "562-698-9885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASSER-MOADDELI",
"first_name": "SHAHRIARE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A51518",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A51518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.
- 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.