Shabnam Moeini-Ferdosi

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

RPE 930 Issued in CA

Practice address

5647 Gateway Road
105
Carlsbad, CA 92009

Phone

(760) 410-8487

NPI assigned

Aug 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Outshine Speech Therapy

  • Speech-Language Pathologist
  • Carlsbad, CA
  • NPI 1467938647
  NPD

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1932575354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 GATEWAY RD STE 105",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920091757",
            "telephone_number": "858-205-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5647 GATEWAY ROAD",
            "address_2": "105",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92009",
            "telephone_number": "760-410-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEINI-FERDOSI",
        "first_name": "SHABNAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "RPE 930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Treatment Centers, Inc
• Carmieona T Mitchell
• Gerald Miyamoto, DDS
• Sherry Lynn Mizumoto, M.S., L.AC.
• Modern Sessions Training Center
• Michael Erhardt Moeller, ND
• Renee L Mohrmann, M.D.
• Alicia Jackelin Molina Diaz
• Cecilia Noemi Molina
• Norman Molina

• Speech-Language Pathologist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.