SAMER MOGHADDAM MD, APC (NPI# 1962978114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962978114 |
| Entity Type | Organization |
| Organization Name | SAMER MOGHADDAM MD, APC |
| Practice Address |
902 N Grand Ave Ste 201 Santa Ana CA 92701-4218 |
| Mailing Address |
17595 Harvard Ave Ste C146 Irvine CA 92614-8516 |
| Practice Telephone | 6572125177 |
| Practice Fax Number | 9495028887 |
| Mailing Telephone | 6572125177 |
| Mailing Fax Number | 9495028887 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-17 |
| Authorized Official Name | SAMER MOGHADDAM (CEO/ OWNER) |
| Authorized Official Telephone | 9497058485 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| Street Address |
902 N GRAND AVE STE 201 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701-4218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
| Find all providers in zip 92701 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576576 | Thethong P Thepvong | Emergency Medicine | 900 W Belgravia Ave, Fresno, CA 93706-3909 | 2020-10-21 |
| 1003441148 | Heather K Mineo | Emergency Medicine | 1908 Spahn Ln, Placentia, CA 92870-2844 | 2020-03-10 |
| 1407497837 | Jaskaranpreet Kaur Sahota | Emergency Medicine | 426 4th Street, Marysville, CA 95901 | 2019-10-07 |
| 1215493515 | Karla Beatriz Sonnier | Emergency Medicine | 17822 Cardiff Cir, Huntington Beach, CA 92649-4807 | 2019-02-12 |
| 1568992923 | American Specialty Physicians Group Inc | Emergency Medicine | 700 17th St Ste 205, Modesto, CA 95354-1249 | 2017-06-18 |
| 1841659067 | George Michael Savage | Emergency Medicine | 2600 Bridge Parkway, Proteus Digital Health, Redwood City, CA 94065 | 2016-02-16 |
| 1053779553 | Robert Alan Hochman | Emergency Medicine | 526 Firecrest Court, Newbury Park, CA 91320-5022 | 2016-01-29 |
| 1578954319 | Amerco Health Enterprise, Inc | Emergency Medicine | 1006 E Bastanchury Rd, Fullerton, CA 92835-2782 | 2015-02-16 |
| 1134543945 | Francine Vogler | Emergency Medicine | 22631 Pacific Coast Highway, #796, Malibu, CA 90265 | 2014-02-13 |
| 1396081659 | Kent Benedict | Emergency Medicine | 3283 Valencia Ave, Aptos, CA 95003-4122 | 2012-12-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SAMER MOGHADDAM MD, APC.
| 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.