AMENNAH S. MOGHADDAM (NPI# 1285046557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285046557 |
| Entity Type | Individual |
| Full Name | AMENNAH S. MOGHADDAM |
| Other Name | AMENEH S. MOGHADDAM |
| Credential | NP |
| Practice Address |
4361 Railroad Ave Pleasanton CA 94566-6611 |
| Practice Telephone | 9254621755 |
| Mailing Telephone | 9254621755 |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2016-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95000419 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4361 RAILROAD AVE |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94566-6611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669403390 | Axis Community Health Inc | Clinic/Center | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2006-07-05 |
| 1245610575 | Priscilla Mathews | Social Worker | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2015-06-02 |
| 1881025971 | Zayda Yeoh | Nurse Practitioner | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2013-11-27 |
| 1124461397 | Axis Community Health Inc | Clinic/Center | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2013-04-08 |
| 1235428913 | Heather Lynne Floyd | Counselor | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2011-04-01 |
| 1376867341 | Kathy Armani | Dietitian, Registered | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2010-03-19 |
| 1891026571 | Jody Ann Allen | Counselor | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2010-01-20 |
| 1003140153 | Gunjan Munjal | Student in an Organized Health Care Education/Training Program | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2009-09-22 |
| 1760626626 | Denise Rae Woodfill | Counselor | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2009-04-22 |
| 1720239544 | Marianne Dellner | Marriage & Family Therapist | 4361 Railroad Ave, Suite H, Pleasanton, CA 94566-6611 | 2008-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558868836 | Ngoc Bich Nguyen | Pharmacist | 1763 Santa Rita Road, Pleasanton, CA 94566 | 2018-04-12 |
| 1225556467 | Maureen Mclaughlin | Psychologist | 739 Main Street, Suite A, Pleasanton, CA 94566 | 2017-09-08 |
| 1558884379 | Michael Robles | Chiropractor | 4133 Mohr Ave Ste I, Pleasanton, CA 94566 | 2017-07-24 |
| 1558817353 | Jordan David Washington | Physical Therapist | 3908 Valley Avenur, Suite B, Pleasanton, CA 94566 | 2016-08-31 |
| 1912359449 | Prorehab Healthcare Group of Companies | Home Health | 4725 First St. Suite 274, Pleasanton, CA 94566 | 2016-07-08 |
| 1093179095 | Cielo House Inc | Clinic/Center | 1056 Division St, Pleasanton, CA 94566 | 2016-04-06 |
| 1154795938 | Arley Fong | Marriage & Family Therapist | 4456 Black Ave Ste 200, Pleasanton, CA 94566 | 2015-11-17 |
| 1770953036 | Lindsay Meyer | Psychologist | 4451 Valley Aveneue, E, Pleasanton, CA 94566 | 2015-09-30 |
| 1902239494 | Irfan Akbar | Marriage & Family Therapist | 1181 Santa Rita Rd, 216, Pleasanton, CA 94566 | 2013-08-20 |
| 1316291842 | Dhaval Patel and Amardeep Gill Dental Corporation | Dentist | 6766 Bernal Ave Suite 560, Pleasanton, CA 94566 | 2012-11-06 |
| Find all providers in zip 94566 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811454531 | Roshan Destiny Uranwala | Nurse Practitioner | 4626 Willow Rd Fl 2, Pleasanton, CA 94588-8517 | 2019-02-28 |
| 1255850137 | Lori League Wolfe | Nurse Practitioner | 6000 Johnston Rd, Pleasanton, CA 94588-9506 | 2017-09-12 |
| 1144631466 | Kings Medicine Pllc | Nurse Practitioner | 809 N Bryant St, Pleasanton, TX 78064-2549 | 2014-05-09 |
| 1417966870 | Chereamie C Ramos-scott | Nurse Practitioner | 4725 1st St Ste 100, Pleasanton, CA 94566-7366 | 2006-08-05 |
| 1326033226 | Gloria G Gallegos | Nurse Practitioner | 310 W Oaklawn Rd, Pleasanton, TX 78064-4033 | 2005-09-16 |
| 1730743345 | Jitlada Lapma Austin | Nurse Practitioner | 5555 W Las Positas Blvd, Pleasanton, CA 94588-4000 | 2019-04-29 |
| 1447700778 | Reinaldo Soto | Nurse Practitioner | 220 W Goodwin St, Suite A, Pleasanton, TX 78064-4115 | 2016-10-11 |
| 1902248495 | Heather Conn | Nurse Practitioner | 1540 W Goodwin St, Pleasanton, TX 78064-3804 | 2013-07-24 |
| 1275860876 | Kristyn D Milburn | Nurse Practitioner | 11155 Tucker Rd, Pleasanton, KS 66075-8401 | 2009-11-03 |
| 1033301718 | Charles D. Short Jr. | Nurse Practitioner | 5000 Hopyard Rd, Suite 100, Pleasanton, CA 94588-3348 | 2007-08-15 |
| Find all providers in PLEASANTON | ||||
| City | PLEASANTON |
| Zip Code | 94566 |
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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.