Moe Fathi, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSB94029025 Issued in CA

Practice address

2160 Fletcher Pkwy Ste 110
El Cajon, CA 92020-2117

Phone

(888) 983-1531

NPI assigned

Jun 15, 2021

Last updated

Jul 16, 2026By the provider in NPPES

Sex

Male

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

Credentials

Doctor of Philosophy

Practice roles

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.

• Clinic Ovis Psychological Group PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • El Cajon, CA
  • NPI 1144064775

  Single Specialty

  NPD (past)
• Solara Health, Inc

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1760916555
  NPD (past)

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1952979098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 HAYES",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203766",
            "telephone_number": "949-350-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 FLETCHER PKWY STE 110",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202117",
            "telephone_number": "888-983-1531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1321 Garnet Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921093012",
            "country_code": "US",
            "telephone_number": "844-600-9747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FATHI",
        "first_name": "MOE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB94029025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Pharmacy Center Inc. (Family Pharmacy Center)
• Yasmin A Farah
• Faranak Ghazi MD (East County Urgent Care)
• Rana Theresa Farida
• Colton Riley Farris
• Jerjis Fatho
• Maryam Fatoha
• Rand Jamil Fattouhi, RPH
• Matthew Vincent Faulkner
• Shannon Fausneaucht

• Clinical Psychologist in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.