DR. PAYAM MOAZZAZ (NPI# 1538304704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538304704 |
| Entity Type | Individual |
| Full Name | DR. PAYAM MOAZZAZ |
| Credential | M.D. |
| Practice Address |
3905 Waring Rd Oceanside CA 92056-4405 |
| Practice Telephone | 7607249000 |
| Mailing Telephone | 7607249000 |
| Mailing Fax Number | 7607243686 |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2020-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | A100652 | CA | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
A100652 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3905 WARING RD |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92056-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679575344 | David Lee Daugherty | Orthopaedic Surgery | 3905 Waring Rd, Oceanside, CA 92056-4405 | 2005-08-12 |
| 1497353270 | Cole Darwin Niessink | Physical Therapist | 3905 Waring Rd, Oceanside, CA 92056-4405 | 2020-10-13 |
| 1558861740 | Lori Kealyn Fisher-gamez | Nurse Practitioner | 3905 Waring Rd, Oceanside, CA 92056-4405 | 2018-02-14 |
| 1194142349 | Ryan William Harper | Physical Therapist | 3905 Waring Rd, Oceanside, CA 92056-4405 | 2014-03-26 |
| 1104253855 | Reid Elliot Bouchard | Physical Therapist | 3905 Waring Rd, Oceanside, CA 92056-4405 | 2013-09-26 |
| 1366790479 | Morgan Dana Silldorff | Orthopaedic Surgery | 3905 Waring Rd, Oceanside, CA 92056-4405 | 2012-08-21 |
| 1174819635 | Jason Dax Curry | Student in an Organized Health Care Education/Training Program | 3905 Waring Rd, Oceanside, CA 92056 | 2011-06-23 |
| 1235435587 | Rachel Ann Anderson | Nurse Practitioner | 3905 Waring Rd, Oceanside, CA 92056-4405 | 2011-02-03 |
| 1992025407 | Grant Seiden | Surgery | 3905 Waring Rd, Oceanside, CA 92056-4405 | 2010-06-07 |
| 1174858328 | Rachel Eileen Keith | Physical Therapist | 3905 Waring Rd, Oceanside, CA 92056-4405 | 2009-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148639 | Universal Health Net San Diego | Hospice Care, Community Based | 4155 Oceanside Blvd, Suite 240, Oceanside, CA 92056 | 2020-06-10 |
| 1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
| 1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
| 1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
| 1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
| 1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
| 1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
| 1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
| 1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
| 1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
| Find all providers in zip 92056 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073590105 | Primary Care Associates Medical Group, Inc | Orthopaedic Surgery | 3998 Vista Way, Suite B, Oceanside, CA 92056-4500 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720649940 | Travis Loidolt D.o. Inc | Orthopaedic Surgery | 584 N. Sunrise Ave., Suite 100, Roseville, CA 95661-2862 | 2019-06-27 |
| 1528629185 | Kushagra Verma Md Inc | Orthopaedic Surgery | 2006 Bataan Rd Unit A, Redondo Beach, CA 90278-1306 | 2019-06-25 |
| 1144888348 | Borys Gvozdyev Md A Professional Medical Corporation | Orthopaedic Surgery | 18035 Brookhurst St # 1200, Fountain Valley, CA 92708-6738 | 2019-06-03 |
| 1992369227 | Veronica Donato | Orthopaedic Surgery | 1245 Wilshire Blvd Ste 770, Los Angeles, CA 90017-4881 | 2019-04-22 |
| 1134681232 | Sca Care of Ca, LLC | Orthopaedic Surgery | 533 Airport Blvd Ste 420, Burlingame, CA 94010-2018 | 2019-04-05 |
| 1528557568 | James Alfred Aicardi | Orthopaedic Surgery | 3838 California St Rm 715, San Francisco, CA 94118-1509 | 2018-05-04 |
| 1457850661 | Ravi Ramachandran Md Inc | Orthopaedic Surgery | 2330 E Bidwell St Ste 100, Folsom, CA 95630-3897 | 2018-02-03 |
| 1659879906 | Total Joint Cin of Northern California | Orthopaedic Surgery | 533 Airport Blvd Ste 425, Burlingame, CA 94010-2018 | 2018-01-31 |
| 1588172936 | Select Health of Ca IIi, LLC | Orthopaedic Surgery | 2372a Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| 1578071924 | Coordinated Health of Ca IIi, LLC | Orthopaedic Surgery | 2372c Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| Find all providers with the same taxonomy | ||||
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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.