DR. SUDABEH MOEIN (MD) – Obstetrics & Gynecology Physician, NPI 1619196870
Obstetrics & Gynecology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,008 OBSTETRICS/GYNECOLOGY in CA
Provider Addresses for DR. SUDABEH MOEIN (MD)
17378 GRANDEE PL
SAN DIEGO, CA 921282154
Phone: (310) 465-9233
Fax: (619) 260-0707
Type: Mailing
2892 JEFFERSON ST
CARLSBAD, CA 920081719
Phone: (760) 434-9500
Fax: (619) 260-0707
Type: Location
11956 BERNARDO PLAZA DR # 977
SAN DIEGO, CA 921282538
Phone: (310) 465-9233
Fax: (619) 260-0707
Type: Mailing
810 E GRAND AVE
ESCONDIDO, CA 920253402
Phone: (310) 465-9233
Type: Location
1512 S DE ANZA BLVD # 190
SAN JOSE, CA 951294606
Phone: (310) 465-9233
Type: Mailing
700 LAWRENCE EXPY
SANTA CLARA, CA 950515173
Phone: (408) 851-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Braintree Laboratories, Inc. ($25).
Total Amount
$44
General + Research + Ownership
Payments
2
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braintree Laboratories, Inc. | $25 |
| EVOKE PHARMA, INC. | $19 |
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: 2005-03-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050324000925 | I | Obstetrics/Gynecology | CA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92128)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | DC | |
| - | CA | |
| N E U R O S U R G E R Y | MA | |
| Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| - | MA | |
| Emergency Medicine | CA | |
| - | CA | |
| Internal Medicine | NY |
Reviews
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