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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: October 18, 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
Phone(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
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Other Names 1

Other Name (5)Ameneh S. Moghaddam

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Amennah Moghaddam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Contra Costa County
23 mi
Adult Mental Health
1420 WILLOW PASS RD
Concord, CA 94520
  • Reassigned Medicare billing, California enrollment
  • 530 clinicians in this Medicare group
NPI 1023188489 (925) 646-5480

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. GUNJAN MUNJAL M.D
Student in an Organized Health Care Education/Training Program
4361 RAILROAD AVE
PLEASANTON, CA 94566
Alameda County (925) 201-6029
MS. :HOLLY AKLI LCSW
Social Worker (Clinical)
4361 RAILROAD AVE
PLEASANTON, CA 94566
Alameda County (925) 201-6623
MS. BARBARA JEAN JULIER MD
Family Medicine (Adult Medicine)
4361 RAILROAD AVE
PLEASANTON, CA 94566
Alameda County (530) 748-8186
AXIS COMMUNITY HEALTH INC
Clinic/Center (Federally Qualified Health Center (FQHC))
4361 RAILROAD AVE
PLEASANTON, CA 94566
Alameda County (925) 462-1755
AXIS COMMUNITY HEALTH INC
Clinic/Center (Community Health)
4361 RAILROAD AVE
PLEASANTON, CA 94566
Alameda County (925) 968-9487
MANJEET SINGH M.D.
Internal Medicine
4361 RAILROAD AVE
PLEASANTON, CA 94566
Alameda County (925) 462-1755
BHAVNA BAVEJA GOEL
Marriage & Family Therapist
4361 RAILROAD AVE
PLEASANTON, CA 94566
Alameda County (925) 249-3165
HEATHER LYNNE CUSUMANO B.S.
Marriage & Family Therapist
4361 RAILROAD AVE
PLEASANTON, CA 94566
Alameda County (925) 201-6041

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 Amennah Moghaddam's NPI number?

The NPI number for Amennah Moghaddam is 1285046557. It was assigned to this individual provider in the NPPES registry on May 21, 2014. The provider is also known as Ameneh S. Moghaddam.

Where is Amennah Moghaddam located?

Amennah Moghaddam practices at 4361 Railroad Ave, Pleasanton, CA 94566. The listed phone number is (925) 462-1755.

What is Amennah Moghaddam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amennah Moghaddam enrolled in Medicare?

Yes. Amennah Moghaddam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amennah Moghaddam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amennah Moghaddam reassigns Medicare benefits to Contra Costa County (Concord, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amennah Moghaddam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amennah Moghaddam was last updated on December 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.