Individual provider Active NPI

Mojgan Sadeghi, MD

  • Family Medicine Physician
  • Simi Valley, CA
National Provider Identifier
1942318902
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A79902 Issued in CA
Practice address
1164 Swallow LN
Simi Valley, CA 93065-3154
Phone
(805) 583-8000
Fax
(805) 583-8001
NPI assigned
Aug 29, 2006
Last updated
Oct 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A79902 CA Primary

Addresses

Primary practice location

1164 Swallow LN
Simi Valley, CA 93065-3154

Mailing address

1164 Swallow LN
Simi Valley, CA 93065-3154
Phone (805) 583-8000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101230000319 CA Practitioner - Family Practice 2264620590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Simicare Medical Group IncGroup PAC ID 5193940617, 2 clinicians

Practice addresses (Care Compare)

1164 Swallow Lane
Simi Valley, CA 93065-3154
Phone (805) 583-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A79902CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simicare Medical Group Inc Family Medicine CurrentSince Apr 1, 2014 Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Inspira Medical Center Woodbury, Inc. Past Accepting new patients

Locations

1164 Swallow Ln
Simi Valley, CA 93065
Phone (805) 583-8000

Interoperability endpoints

  • Direct secure messaging: m.sadeghi.md@simicaremedical.officeally.direct

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1942318902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 SWALLOW LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653154",
            "telephone_number": "805-583-8000",
            "fax_number": "805-583-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 SWALLOW LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653154",
            "telephone_number": "805-583-8000",
            "fax_number": "805-583-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADEGHI",
        "first_name": "MOJGAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A79902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.