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

Roxanna Moridzadeh, PA-C

Individual provider Physician Assistant · NPI 1124679808

Roxanna Moridzadeh, PA-C is a Physician Assistant in Costa Mesa, California. Qualified in 2019, 7 years ago. Practices with Regents of the University of California, a 61-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1640 Newport Blvd Ste 100
Costa Mesa, CA 92627-3786
Phone: (714) 456-8888
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 660 Baker St Ste A101, Costa Mesa, CA 92626-4407 — (714) 668-2500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA57145 (CA)

Record details

NPI number1124679808
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 24, 2019
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Regents Of The University Of California — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Costa Mesa