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SHADAB MOINI
NPI 1720712839
Student in an Organized Health Care Education/Training Program in Irvine, CA

Active since July 13, 2022PECOS Enrolled
845 SAN REMO, IRVINE, CA 92606(949) 422-3814 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shadab Moini NPPES

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

SHADAB MOINI (NPI 1720712839) is an individual student in an organized health care education/training program in Irvine, California and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720712839
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHADAB MOINI
Location Address845 SAN REMOIrvine, CA 92606-8210
Mailing Address845 San RemoIrvine, CA 92606-8210 · (949) 422-3814
Phone(949) 422-3814
Sole ProprietorYes
Enumeration DateJuly 13, 2022
NPPES CertifiedJuly 13, 2022
✔ NPI 1720712839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
845 SAN REMO, Irvine, CA 92606
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shadab Moini 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.

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 Shadab Moini's NPI number?

The NPI number for Shadab Moini is 1720712839. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Shadab Moini located?

Shadab Moini practices at 845 San Remo, Irvine, CA 92606. The listed phone number is (949) 422-3814.

What is Shadab Moini's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shadab Moini enrolled in Medicare?

Yes. Shadab Moini is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shadab Moini was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.