MR. ALI MOHAMMAD MOVAFAGH (NPI# 1164587713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164587713 |
| Entity Type | Individual |
| Full Name | MR. ALI MOHAMMAD MOVAFAGH |
| Credential | MD |
| Practice Address |
12712 Heacock St Ste 1 Moreno Valley CA 92553 |
| Practice Telephone | 9514850335 |
| Practice Fax Number | 9514851514 |
| Mailing Telephone | 9514850335 |
| Mailing Fax Number | 9514851514 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | C42507 | CA | Allopathic & Osteopathic Physicians |
| X | 208000000X | Pediatrics | C42507 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C425070 | 05 |
| Street Address |
12712 HEACOCK ST STE 1 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013093103 | Lajean Avon Forbes | Nurse Practitioner | 12712 Heacock St, Suite 7, Moreno Valley, CA 92553-3037 | 2006-10-31 |
| 1114383080 | Advance Comprehensive Pain Care Inc | Anesthesiology | 12712 Heacock St, Suite 9a, Moreno Valley, CA 92553 | 2016-01-08 |
| 1235464777 | Whitney Wilczynski | Marriage & Family Therapist | 12712 Heacock St, Suite 6, Moreno Valley, CA 92553-3037 | 2009-10-15 |
| 1508095712 | Rose Ellen Swim | Marriage & Family Therapist | 12712 Heacock St, Suite 2, Moreno Valley, CA 92553-3037 | 2009-07-09 |
| 1295998409 | Gateway Counseling Cneter | Voluntary or Charitable | 12712 Heacock St, Moreno Valley, CA 92553-3037 | 2008-07-08 |
| 1891964805 | Michelle Hall Bertok | Marriage & Family Therapist | 12712 Heacock St, Suite 6, Moreno Valley, CA 92553-3037 | 2008-02-23 |
| 1700055712 | Kristina Marie Trauth | Marriage & Family Therapist | 12712 Heacock St, Suite 6, Moreno Valley, CA 92553-3037 | 2008-02-23 |
| 1023292158 | Vicki Kodad | Counselor | 12712 Heacock St, Suite 6, Moreno Valley, CA 92553-3037 | 2007-12-26 |
| 1306025291 | Kevin Keith | Marriage & Family Therapist | 12712 Heacock St, Suite 6, Moreno Valley, CA 92553-3037 | 2007-10-29 |
| 1679760599 | Christian Avery Peters | Marriage & Family Therapist | 12712 Heacock St, Suite 9-b, Moreno Valley, CA 92553-3037 | 2007-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746310 | Nextgen Medical Services Inc | Family Medicine | 24060 Fir Ave Ste A-1, Moreno Valley, CA 92553-2895 | 2019-12-05 |
| 1922582592 | Clinica Medica Latina, Inc | Family Medicine | 24805 Alessandro Blvd Ste 8, Moreno Valley, CA 92553-6101 | 2018-09-19 |
| 1386132041 | Remedial Medical Group | Family Medicine | 12730 Heacock St Ste 4a, Moreno Valley, CA 92553-3040 | 2018-04-27 |
| 1174988935 | Hamed Shalikar | Family Medicine | 22721 Tea Rose Ln, Moreno Valley, CA 92557-6016 | 2015-12-22 |
| 1881941409 | Alessandro Medical Professional Corporation | Family Medicine | 13925 Indian St, Moreno Valley, CA 92553-5718 | 2012-08-14 |
| 1619279213 | Aik Gazarian | Family Medicine | 26502 Cactus Ave, B2017, Moreno Valley, CA 92555 | 2010-12-02 |
| 1841524824 | Mahbuba Khan | Family Medicine | 17149 Via Xavier, Moreno Valley, CA 92555-3339 | 2009-09-24 |
| 1740423128 | Suzette Lee Jumamil | Family Medicine | 12959 Dolomite Ln, Moreno Valley, CA 92555-4514 | 2009-04-14 |
| 1104069889 | Nathan Mclaughlin | Family Medicine | 23520 Cactus Ave, Moreno Valley, CA 92553-8906 | 2009-04-11 |
| 1073669404 | Canyon Springs Medical Group, Inc. | Family Medicine | 26520 Cactus Ave Rm B2018, Moreno Valley, CA 92555-3927 | 2007-01-26 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.