Samer Moghaddam MD, Apc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SAMER MOGHADDAM MD, APC

Practice address

902 N Grand Ave Ste 201
Santa Ana, CA 92701-4218

Phone

(657) 212-5177

Fax

(949) 502-8887

NPI assigned

Oct 15, 2018

Last updated

Oct 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samer Moghaddam, MDNPI 1275700478

Title

Ceo/ Owner

Phone

(949) 705-8485

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samer Moghaddam, M.D.

  • Internal Medicine Physician
  • Santa Ana, CA
  • NPI 1275700478
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1962978114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17595 HARVARD AVE STE C146",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926148516",
            "telephone_number": "949-705-8485",
            "fax_number": "949-502-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N GRAND AVE STE 201",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014218",
            "telephone_number": "657-212-5177",
            "fax_number": "949-502-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMER MOGHADDAM MD, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "MOGHADDAM",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "949-705-8485",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Salvador
• Julie Ann Salyards
• Kaloni Sam, FNP-BC
• Mayra Jeanette Samano
• Yesenia Samano, MSW
• Shahin H Samimi, MD
• Neeta Ferreira Sampat, LCSW
• Brianna Sample
• Kristine Gutierrez Samson, BSN, RN
• Samuel Saesim DDS Inc.

• Internal Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.

Verify at the official NPI Registry.