Active NPI
Mozhgan Ashtari MD PC
- Geriatric Medicine (Internal Medicine) Physician
- Laguna Hills, CA
National Provider Identifier
1962815779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- A111582
- Legal business name
- MOZHGAN ASHTARI MD PC
- Practice address
- 23141 Moulton Pkwy Ste 202
Laguna Hills, CA 92653-1241 - Phone
- (949) 305-2711
- Fax
- (949) 502-8887
- NPI assigned
- Jun 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mozhgan Ashtari, MD
- Title
- Ceo/ MD
- Phone
- (551) 206-5779
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | A111582 | CA | Primary |
Addresses
Primary practice location
23141 Moulton Pkwy Ste 202
Laguna Hills, CA 92653-1241
Mailing address
23141 Moulton Pkwy Ste 202
Laguna Hills, CA 92653-1241
Phone (949) 305-2711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Laguna Hills, CA
- NPI 1558691451
Geriatric Medicine
-
- Internal Medicine Physician
- San Clemente, CA
- NPI 1558949693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432857600000",
"number": "1962815779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23141 MOULTON PKWY STE 202",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531241",
"telephone_number": "949-305-2711",
"fax_number": "949-502-8887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23141 MOULTON PKWY STE 202",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531241",
"telephone_number": "949-305-2711",
"fax_number": "949-502-8887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOZHGAN ASHTARI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-09",
"last_updated": "2015-05-29",
"status": "A",
"authorized_official_last_name": "ASHTARI",
"authorized_official_first_name": "MOZHGAN",
"authorized_official_title_or_position": "CEO/ MD",
"authorized_official_telephone_number": "551-206-5779",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "A111582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.