BAHRAM TROY MOGHADAM


Address: 10243 Genetic Center Dr, San Diego, CA 92121-6310
Phone: 8585266147

BAHRAM TROY MOGHADAM (NPI# 1790027183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790027183
Entity Type Individual
Full Name BAHRAM TROY MOGHADAM
Other Name TROY MOGHADAM
Credential DPM
Practice Address 10243 Genetic Center Dr
San Diego
CA 92121-6310
Practice Telephone 8585266147
Practice Fax Number 8585266076
Mailing Telephone 8585266147
Mailing Fax Number 8585266076
Enumeration Date 2013-03-23
Last Update Date 2017-04-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
E5237 CA Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 10243 GENETIC CENTER DR
City SAN DIEGO
State CA
Zip Code 92121-6310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346240967 Eric R Lovell Emergency Medicine 10243 Genetic Center Dr, San Diego, CA 92121-6310 2005-07-26
1811551930 Samantha Timanus Physical Therapist 10243 Genetic Center Dr, San Diego, CA 92121-6310 2019-04-24
1689169062 Ylan Ton Physical Therapist 10243 Genetic Center Dr, San Diego, CA 92121-6310 2018-06-27
1861908386 Ashley Jennifer Ennedy Preventive Medicine 10243 Genetic Center Dr, San Diego, CA 92121-6310 2017-12-19
1265979744 Hossein Manavizadeh Pharmacist 10243 Genetic Center Dr, San Diego, CA 92121-6310 2017-01-23
1821533985 Jessica Llamas Specialist/Technologist 10243 Genetic Center Dr, San Diego, CA 92121-6310 2016-12-28
1770946543 Jill M. Lundstrom Pediatrics 10243 Genetic Center Dr, San Diego, CA 92121-6310 2016-03-30
1447610571 Christina N Nakashima Pharmacist 10243 Genetic Center Dr, San Diego, CA 92121-6310 2016-03-02
1033578661 Patricia Polikoff Pharmacist 10243 Genetic Center Dr, San Diego, CA 92121-6310 2016-02-10
1265859524 Angela Sung Psychiatry & Neurology 10243 Genetic Center Dr, San Diego, CA 92121 2014-03-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225644917 Anna Hand Physical Therapist 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 2020-09-18
1972138030 Lamarr Joyner Licensed Vocational Nurse 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 2020-03-10
1396383212 La Jolla Professional Plastic Surgery Plastic Surgery 4510 Executive Dr. Suite 105, San Diego, CA 92121 2019-12-11
1841852472 Unmanned Systems Operations Group Air Carrier 4655 Executive Dr., Suite 700, San Diego, CA 92121 2019-07-03
1861051922 Grace Getchell Behavior Technician 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 2019-06-11
1720643299 Megan Jean Bathen Behavior Technician Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 2019-05-09
1346804366 Daniel Melita Massage Therapist 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 2019-04-25
1831674464 Stepahnie Becerra Behavior Technician 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 2018-09-28
1265915466 Ailyn Martinez Behavior Technician 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 2018-09-13
1790265163 Genben Lifesciences Corporation Public Health or Welfare 6370 Lusk Blvd Ste F205, San Diego, CA 92121 2018-08-15
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437348919 Ryan Yen Choy Lee Podiatrist 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 2007-10-19
1295899888 Podiatry Associates of San Diego Podiatrist 3330 Third Avenue #402, San Diego, CA 92103-5639 2006-12-20
1962517508 Patricia Lynn Forg Podiatrist 3989 32nd St, San Diego, CA 92104-2001 2006-08-21
1730111469 Renee Gregorio Podiatrist 3636 5th Ave, #300, San Diego, CA 92103-4230 2006-07-06
1962456400 Richard M and Donald R Green Ptrs Dba San Diego Podiatry Group Podiatrist 2650 Camino Del Rio N, Suite 101, San Diego, CA 92108-1621 2006-05-20
1053317545 Nicholas Nelson Desantis Podiatrist 2306 6th Ave, San Diego, CA 92101-1643 2005-06-21
1013911395 Sophie I Liu Podiatrist 7297 Ronson Rd Ste H, San Diego, CA 92111-1428 2005-06-02
1073128385 Aisha Ahmed, Dpm, Inc. Podiatrist 8901 Activity Rd Ste 205, San Diego, CA 92126-4436 2020-09-14
1295249902 San Diego Foot & Ankle, Inc Podiatrist 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 2017-11-17
1770014516 James Willmore Podiatrist 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 2017-03-23
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Competitor

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City SAN DIEGO
Zip Code 92121

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Dataset Information

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.

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