ROXANNA MORIDZADEH PA-C
NPI 1124679808
Physician Assistant in Costa Mesa, CA

Q: What is Roxanna Moridzadeh's NPI number?

The NPI number for Roxanna Moridzadeh is 1124679808. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Q: What is Roxanna Moridzadeh's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since September 24, 2019PECOS EnrolledAccepts Medicare Assignment

1640 NEWPORT BLVD STE 100, COSTA MESA, CA 92627(714) 456-8888 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2023, Dec 23, 2019, Sep 24, 2019 (3 updates tracked since 2019).

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About Roxanna Moridzadeh Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROXANNA MORIDZADEH PA-C (NPI 1124679808) is an individual physician assistant in Costa Mesa, California, licensed in California (PA57145) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Costa Mesa, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124679808

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameROXANNA MORIDZADEHCredential: PA-C

Location Address1640 NEWPORT BLVD STE 100Costa Mesa, CA 92627-3786

Mailing AddressPo Box 2218Suisun City, CA 94585-5218 · (657) 241-3600 · Fax (657) 241-7708

Phone(714) 456-8888

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 24, 2019

Last NPPES UpdateOctober 31, 20243 updates tracked since enumeration

NPPES CertifiedOctober 31, 2024

✔ NPI 1124679808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA57145

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1640 NEWPORT BLVD STE 100, Costa Mesa, CA 92627

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Secondary Practice Location 1

Location 1660 Baker St Ste A101Costa Mesa, CA 92626-4407 · Phone (714) 668-2500 · Fax (714) 668-2515

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roxanna Moridzadeh Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567898158

PECOS Enrollment IDI20200129002759

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

70 services51 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

62 services47 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92627 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANNAT KAUR SAINI MD

Internal Medicine (Gastroenterology)