Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Anoosh Moadab, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1912904376

Dr. Anoosh Moadab, DPM is a Podiatry in Fresno, California. Graduated from California School of Podiatric Medicine in 2001, 25 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Trained at
California School of Podiatric Medicine
Licensed in
CA
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

6115 N 1st St Ste 101
Fresno, CA 93710-5450
Phone: (559) 436-1213
Fax: (559) 436-4202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E4514 (CA)

Record details

NPI number1912904376
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 30, 2005
Last updated in NPPESApril 20, 2012
Mailing address6115 N 1st St Ste 101, Fresno, CA 93710-5450

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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