PREVENTATIVE MEDICINE INC – NPI #1740806306
Preventive Medicine

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

PREVENTATIVE MEDICINE INC is a provider located in LOS GATOS, CA. NPPES has assigned the NPI number 1740806306 to PREVENTATIVE MEDICINE INC on June 19, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2083A0300X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Addiction Medicine

The NPI profile was last updated on Jun 10, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PREVENTATIVE MEDICINE INC below.

NPI Profile for
PREVENTATIVE MEDICINE INC

NPI Number
1740806306
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PREVENTATIVE MEDICINE INC
Primary location
16400 LARK AVE STE 100
LOS GATOS, CA 95032-2563
Phone: (408) 992-5141 Fax: (650) 999-9134
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SEPIDEH MOAYED
CEO, FOUNDER
Phone: (408) 992-5141
Updated
Certification Date
Jun 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083A0300X
- Preventive Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.