SEAN MOGHADAM
NPI 1174074199
Dentist - Oral and Maxillofacial Surgery in Fullerton, CA

Q: What is Sean Moghadam's NPI number?

The NPI number for Sean Moghadam is 1174074199. It was assigned to this individual provider in the NPPES registry on October 14, 2016.

Q: What is Sean Moghadam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Sean Moghadam was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 14, 2016PECOS Enrolled

1620 S HARBOR BLVD, FULLERTON, CA 92832(714) 294-7070 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2017, Oct 14, 2016 (2 updates tracked since 2016).

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About Sean Moghadam NPPES

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

SEAN MOGHADAM (NPI 1174074199) is an individual oral and maxillofacial surgery provider in Fullerton, California, licensed in California (107536) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174074199

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameSEAN MOGHADAM

Location Address1620 S HARBOR BLVDFullerton, CA 92832-3473

Mailing Address1620 S Harbor BlvdFullerton, CA 92832-3473 · (213) 222-5183

Phone(714) 294-7070

Sole ProprietorYes

Enumeration DateOctober 14, 2016

Last NPPES UpdateAugust 25, 20252 updates tracked since enumeration

NPPES CertifiedAugust 25, 2025

✔ NPI 1174074199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CA · 107536

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1620 S HARBOR BLVD, Fullerton, CA 92832

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean Moghadam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92832 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 2

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

ABIGAIL MARY NOLAN DDS

Dentist (Orthodontics and Dentofacial Orthopedics)

1620 S HARBOR BLVD
FULLERTON, CA 92832

Orange County (714) 294-7070

WESTERN DENTAL SERVICES, INC.

Dentist

1620 S HARBOR BLVD, SUITE A
FULLERTON, CA 92832

Orange County (714) 294-7066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sean Moghadam's NPI number?

The NPI number for Sean Moghadam is 1174074199. It was assigned to this individual provider in the NPPES registry on October 14, 2016.

Where is Sean Moghadam located?

Sean Moghadam practices at 1620 S Harbor Blvd, Fullerton, CA 92832. The listed phone number is (714) 294-7070.

What is Sean Moghadam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Sean Moghadam enrolled in Medicare?

Yes. Sean Moghadam is registered in the Medicare PECOS enrollment system.

What insurance does Sean Moghadam accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Sean Moghadam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sean Moghadam was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.