DR. SUDABEH MOEIN (NPI# 1619196870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619196870 |
Entity Type | Individual |
Full Name | DR. SUDABEH MOEIN |
Credential | MD |
Practice Address |
2892 Jefferson St Carlsbad CA 92008-1719 |
Mailing Address |
17378 Grandee Pl San Diego CA 92128-2154 |
Practice Telephone | 7604349500 |
Practice Fax Number | 6192600707 |
Mailing Telephone | 3104659233 |
Mailing Fax Number | 6192600707 |
Enumeration Date | 2007-04-25 |
Last Update Date | 2014-01-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | A67561 | CA | Other Service Providers |
Street Address |
2892 JEFFERSON ST |
City | CARLSBAD |
State | CA |
Zip Code | 92008-1719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366989030 | Jordan Joseph Granata | Student in an Organized Health Care Education/Training Program | 2892 Jefferson St, Carlsbad, CA 92008-1719 | 2017-01-19 |
1861860595 | Laura E. Hopper | Psychologist | 2892 Jefferson St, Carlsbad, CA 92008-1719 | 2015-09-11 |
1639439565 | Milena Dun | Psychologist | 2892 Jefferson St, Carlsbad, CA 92008-1719 | 2012-05-25 |
1164704847 | Alexis Eryn Weintraub | Counselor | 2892 Jefferson St, Carlsbad, CA 92008-1719 | 2011-09-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760029706 | Todd F Ovokaitys | Internal Medicine | 2260 Rutherford Road, Suite 101, C/o Gematria, Carlsbad, CA 92008 | 2019-12-10 |
1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
1972096717 | Toshiya Kawano | Chiropractor | 5650 El Camino Real Ste 285, Carlsbad, CA 92008 | 2018-06-06 |
1184111684 | Brittany Lauren Cheatham | Nurse Practitioner | 345 Walnut Ave, Carlsbad, CA 92008 | 2018-04-19 |
1770092843 | Michele Laporte Downey | Counselor | 2910 Jefferson St, Suite 100, Carsbad, CA 92008 | 2017-09-21 |
1225567142 | Shana Smith | Occupational Therapy Assistant | 5870 El Camino Real, Carlsbad, CA 92008 | 2017-06-05 |
1336690395 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2559 Camino Real Rd, Carlsbad, CA 92008 | 2016-10-14 |
1093174849 | Nhi Thi Diem Nguyen | Pharmacist | 6850 Avenida Encinas, Carlsbad, CA 92008 | 2016-02-22 |
1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
1285005660 | Thanh-trinh Doan | Optometrist | 2322 Rutherford Rd., Carlsbad, CA 92008 | 2015-10-12 |
Find all providers in zip 92008 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
1790193498 | Louticia Joann Grier | Specialist | 2914 Luciernaga St Unit A, Carlsbad, CA 92009-5951 | 2014-07-25 |
1497179519 | Integrative and Holistic Center for Hormone Balancing, Inc. | Specialist | 2892 Jefferson Street, Carlsbad, CA 92008 | 2014-02-10 |
1437494937 | Tabatha M Owens Addison | Specialist | 2100 Palomar Airport Rd, Suite 214, Carlsbad, CA 92011-4402 | 2012-12-10 |
1003193384 | Kristen Mary Brumleve | Specialist | 785 Grand Ave Ste 208, Carlsbad, CA 92008-2371 | 2011-11-14 |
1629374483 | Sandra Acosta | Specialist | 4710 Birchwood Cir, Carlsbad, CA 92008-3706 | 2011-01-26 |
1952544405 | Gaspar Physical Therapy A Professional Corporation | Specialist | 6221 Metropolitan Dr, Unit 101, Carlsbad, CA 92009 | 2009-04-14 |
1710144167 | Stephen M Stahl | Specialist | 1930 Palomar Point Way, Suite 103, Carlsbad, CA 92008-5579 | 2008-05-21 |
1285807123 | Joseph Michael Walker | Specialist | 2081 Faraday Ave, Carlsbad, CA 92008-7230 | 2008-04-11 |
1588780373 | Gary Marvin Willard | Specialist | 2588f El Camino Real Ste 127, Carlsbad, CA 92008-1201 | 2007-03-22 |
Find all providers in CARLSBAD |
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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.