Pegah Mohtashemi

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

9 Cardiff
Laguna Niguel, CA 92677-2936

Phone

(949) 874-4949

NPI assigned

Aug 26, 2019

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

Other names 1

• Pegah Nejad Mohtashemi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1952959710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CARDIFF",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772936",
            "telephone_number": "949-874-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CARDIFF",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772936",
            "telephone_number": "949-874-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHTASHEMI",
        "first_name": "PEGAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGAH",
            "last_name": "NEJAD MOHTASHEMI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mission Viejo Medical Clinic
• Mission Viejo Radiology Center, Inc.
• Steven Mitchell, ASW
• Melika Moeini, DMD
• Tannaz Moghim Dehkordi
• Pamela Moldauer, LCSW
• Michael Vance Molyneaux, M.D.
• Maria Carolina Montenegro Silva Da Rocha
• Cheryl Ashlin Moore, DPT
• Jeanne Lynn Moore, PSYD

• Student in an Organized Health Care Education/Training Program in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.