AMENNAH S. MOGHADDAM NP
NPI 1285046557
Nurse Practitioner in Pleasanton, CA

Active since May 21, 2014PECOS Enrolled
4361 RAILROAD AVE, PLEASANTON, CA 94566(925) 462-1755 Get Directions Write a Review

NPPES record last updated: December 27, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amennah S. Moghaddam Np NPPES

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

AMENNAH S. MOGHADDAM NP (NPI 1285046557) is an individual nurse practitioner in Pleasanton, California, licensed in California (95000419) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285046557
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMENNAH S. MOGHADDAMCredential: NP
Location Address4361 RAILROAD AVEPleasanton, CA 94566-6611
Mailing Address4361 Railroad AvePleasanton, CA 94566-6611 · (925) 462-1755
Sole ProprietorNo
Enumeration DateMay 21, 2014
Last NPPES UpdateDecember 27, 2016
NPI 1285046557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95000419
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4361 RAILROAD AVE, Pleasanton, CA 94566

Other Names 1

Other Name (5)Ameneh S. Moghaddam

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amennah S. Moghaddam Np 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 94566 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
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 20

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

Family Medicine (Adult Medicine)
4361 RAILROAD AVE
PLEASANTON, CA 94566
Social Worker (Clinical)
4361 RAILROAD AVE
PLEASANTON, CA 94566
Family Medicine
4361 RAILROAD AVE
PLEASANTON, CA 94566
Marriage & Family Therapist
4361 RAILROAD AVE
PLEASANTON, CA 94566
Family Medicine
4361 RAILROAD AVE
PLEASANTON, CA 94566
Marriage & Family Therapist
4361 RAILROAD AVE
PLEASANTON, CA 94566
Marriage & Family Therapist
4361 RAILROAD AVE
PLEASANTON, CA 94566
Marriage & Family Therapist
4361 RAILROAD AVE, SUITE H
PLEASANTON, CA 94566

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285046557, enumerated as an "individual" on May 21, 2014.

The provider is located at 4361 RAILROAD AVE PLEASANTON, CA 94566 and the phone number is (925) 462-1755.

Nurse Practitioner with taxonomy code 363L00000X.