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

Jasmine B Moghadam, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1962169375

Jasmine B Moghadam, NURSEPRACTITIONER is a Nurse Practitioner in San Dimas, California. Qualified in 2021, 5 years ago. Practices with Pagiel Shechter MD Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021

Practice location Address checks out

1335 Cypress St
San Dimas, CA 91773-3537
Phone: (909) 542-2896
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95018978 (CA)

Record details

NPI number1962169375
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedNovember 19, 2021
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Pagiel Shechter Md Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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