Sean Moghadam, in Fullerton, CA - Medicare Dentist Provider

Sean Moghadam, is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Fullerton, California. His current practice location is 1620 S Harbor Blvd, Fullerton, California. You can reach out to his office (for appointments etc.) via phone at (714) 294-7070.

Sean Moghadam is licensed to practice in California (license number 107536) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174074199.

Contact Information

	Sean Moghadam,
	1620 S Harbor Blvd, Fullerton, CA 92832-3473
	(714) 294-7070
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sean Moghadam
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	1620 S Harbor Blvd, Fullerton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174074199
Provider Enumeration Date: 10/14/2016
Last Update Date: 08/25/2025

Medicare PECOS Information:

PECOS PAC ID: 5890074405
Enrollment ID: I20161122000266

Medical Identifiers

Medical identifiers for Sean Moghadam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174074199	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	107536 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sean Moghadam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sean Moghadam, 1620 S Harbor Blvd, Fullerton, CA 92832-3473 Ph: (213) 222-5183	Sean Moghadam, 1620 S Harbor Blvd, Fullerton, CA 92832-3473 Ph: (714) 294-7070

Reviews and Comments

Dentist in Fullerton, CA

Nada Maged Mikhail, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 125 W Orangethorpe Ave, Fullerton, CA 92832 Phone: 714-871-1932 Fax: 714-871-5733
Dr. Jane Skuben-vadkerti, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1690 N Placentia Ave Ste A, Fullerton, CA 92831 Phone: 714-528-0600
Dr. Luke Kyung-goo Choi, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1001 E Chapman Ave, Suite A, Fullerton, CA 92831 Phone: 714-871-7000 Fax: 714-871-7080
Dr. Dani Q Nguyen, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 400 E Commonwealth Ave, #3, Fullerton, CA 92832 Phone: 714-449-0022 Fax: 714-449-0944
Thien Phuc Nguyen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 301 W Bastanchury Rd, Suite 110, Fullerton, CA 92835 Phone: 714-526-9214
Dr. Dennis Donald Kudlik, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2000 E Chapman Ave, Suite # 100, Fullerton, CA 92831 Phone: 714-526-2860
Dr. Jimmy K Bhatt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1126 E Commonweath Ave, Fullerton, CA 92831 Phone: 714-862-8303

Sean Moghadam, - Medicare Dentist in Fullerton, CA