Eilya Moghaddam MD Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EILYA MOGHADDAM MD CORP

Practice address

1 Medical Plaza Dr
Roseville, CA 95661-3037

Phone

(916) 878-2588

Fax

(916) 878-2622

NPI assigned

Jan 10, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Eilya Moghaddam, MD

Title

Owner

Phone

(916) 878-2588

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1992419261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 APPIAN WAY",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625653",
            "telephone_number": "916-878-2588",
            "fax_number": "916-878-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PLAZA DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613037",
            "telephone_number": "916-878-2588",
            "fax_number": "916-878-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILYA MOGHADDAM MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "MOGHADDAM",
        "authorized_official_first_name": "EILYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-878-2588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lianna Marie Edwards, FNP
• Michelle Martine Edwards, D.O.
• Muhammed Waleed Effendi, MSN-FNP-C
• Eric A Egli, PHD
• Omar Eid, PHARMD
• Lindsey Eischen
• Desalegn Ejigu
• Elizabeth I Ekpo, M.D.
• Nastassja El-Sayed, MOT, OTR
• Jessica R Elack, RADT

• Internal Medicine Physician in Roseville, CA
• Providers in Roseville, 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 Jan 10, 2023; 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.