| Mojtaba Moghadam I, MD | |
|
1335 W Cypress Ave, Suite # 205, San Dimas, CA 91773-3537 | |
| (909) 542-2770 | |
| (909) 394-1800 |
| Full Name | Mojtaba Moghadam I |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 45 Years |
| Location | 1335 W Cypress Ave, San Dimas, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932114733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G45294 (California) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | G45294 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Citrus Dialysis Center | Covina, CA | Dialysis facility |
| San Dimas Dialysis Center, Inc. | San dimas, CA | Dialysis facility |
| Emanate Health Inter-community Hospital | Covina, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| California Kidney Specialists | 0345232096 | 17 |
| Entity Name | Southern California Hospitalist Network Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790880458 PECOS PAC ID: 8921990110 Enrollment ID: O20040324001749 |
| Entity Name | California Kidney Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760497457 PECOS PAC ID: 0345232096 Enrollment ID: O20040401000786 |
| Mailing Address | Practice Location Address |
|---|---|
| Mojtaba Moghadam I, MD 1335 Cypress Street, Suite # 205, San Dimas, CA 91773 Ph: (909) 542-2770 | Mojtaba Moghadam I, MD 1335 W Cypress Ave, Suite # 205, San Dimas, CA 91773-3537 Ph: (909) 542-2770 |
Dr. Abid Arif Rizvi, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1335 Cypress St Ste 205, San Dimas, CA 91773 Phone: 909-542-2777 | |
Bashar G Saad, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 615 E Foothill Blvd Ste C, San Dimas, CA 91773 Phone: 626-335-8094 Fax: 626-335-1874 | |
Claudio H Gallego, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1335 W Cypress Ave, Suite # 205, San Dimas, CA 91773 Phone: 909-542-2770 Fax: 909-394-1800 | |
Mr. Ron Dunchok, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1334 West Covina Blvd, Suite 204, San Dimas, CA 91773 Phone: 909-599-6300 Fax: 909-305-2500 | |
Dr. Jim Nguyen, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1335 Cypress St Ste 205, San Dimas, CA 91773 Phone: 909-542-2777 | |
Raymond Esparza, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1330 W Covina Blvd, #203, San Dimas, CA 91773 Phone: 909-394-0044 Fax: 909-394-6133 | |
Mr. Afshin Saadat, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1334 W Covina Blvd Ste 204, San Dimas, CA 91773 Phone: 909-599-6300 Fax: 909-305-2500 |