SEPIDEH MOAYED (MD) – Addiction Medicine (Preventive Medicine) Physician, NPI 1295709046

SEPIDEH MOAYED (MD) is a healthcare provider. based in San jose, California. specializing in PREVENTIVE MEDICINE. They hold the professional credentials MD. They hold a License No. A77967 (CA). The NPI Number for SEPIDEH MOAYED (MD) is 1295709046

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
SEPIDEH MOAYED (MD)
NPI
1295709046
Phone
(408) 992-5141
Address
2242 CAMDEN AVE STE 203
Enumeration Date
16 February 2006
Last Update Date
12 March 2021

Doctor Profile

Medical School Name
HAHNEMAN MEDICAL COLLEGE OF THE PACIFIC
Secondary Phone
8186392901
Graduation Year
1994 (32 years ago)
PAC ID
4688578685
Group Practice PAC ID
1254761315
Professional Enrollment ID
I20050422000863
Address ID
CA950305330LO470XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

233 PREVENTIVE MEDICINE in CA

Provider Addresses for SEPIDEH MOAYED (MD)

  • 2242 CAMDEN AVE STE 203

    SAN JOSE, CA 951242029

    Phone: (408) 992-5141

    Fax: (408) 796-7492

    Type: Location

  • 15001, National Avenue, Los Gatos, Santa Clara County, California, 95032, United States

    LOS GATOS, CA 950322635

    Phone: (408) 356-7226

    Fax: (408) 356-7224

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050422000863IPreventive MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view330294$0
99215Established patient office or other outpatient visit, 40-54 minutes7314$0
70450Ct scan head or brain without contrast5149$0
74177Ct scan of abdomen and pelvis with contrast3737$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or3711$0
View full utilization report →

Insurance plans in this area (ZIP 95124)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254761315View full group profile
NameSpecialtyState
Diagnostic RadiologyMO
Diagnostic RadiologyTX
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Physician AssistantCA
-MN
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for SEPIDEH MOAYED (MD)?
SEPIDEH MOAYED (MD) — NPI 1295709046 — is the standard way to identify this listing.
Is SEPIDEH MOAYED (MD) listed as active for patients and plans?
The listing shows SEPIDEH MOAYED (MD) as active in the NPI system.
What taxonomy line describes SEPIDEH MOAYED (MD)?
For research purposes, treat SEPIDEH MOAYED (MD) as Addiction Medicine (Preventive Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is SEPIDEH MOAYED (MD) based?
SEPIDEH MOAYED (MD) is tied to San Jose, California in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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