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

Hassan Sheikh Moghaddas, MD

Individual provider Surgery Physician · NPI 1124469838

Hassan Sheikh Moghaddas, MD is a General Surgery in Clearlake, California. Qualified in 2011, 15 years ago. Practices with Adventist Health Clearlake Hospital Inc, a 86-clinician group and accepts Medicare assignment. Licensed in California and Pennsylvania.

Years since qualifying
15
Licensed in
CA, PA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15332 Lakeshore Dr Ste 101
Clearlake, CA 95422
Phone: (707) 461-7986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A142083 (CA)
Surgery Physician Taxonomy 208600000X · Licence MT207360 (PA)

Record details

NPI number1124469838
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 10, 2013
Last updated in NPPESJune 26, 2018

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Adventist Health Clearlake Hospital Inc. — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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