Active NPI
Christine Marie Moak, AGACNP-BC
- Acute Care Nurse Practitioner
- Long Beach, CA
National Provider Identifier
1003395864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95009397
- Practice address
- 3060 McNab Ave
Long Beach, CA 90808-4002 - Phone
- (562) 277-4741
- NPI assigned
- Aug 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95009397 | CA | Primary |
Addresses
Primary practice location
3060 McNab Ave
Long Beach, CA 90808-4002
Mailing address
3060 McNab Ave
Long Beach, CA 90808-4002
Phone (562) 277-4741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 15.83 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 52.77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Transitional Care, LLC | Current | Accepting new patients | |
| Osher Resources Inc | Current | Accepting new patients | |
| SNF Wound Care | Current | Accepting new patients |
Locations
1244 Travis Blvd
Fairfield, CA 94533
Phone (707) 422-7750
1832 B St
Hayward, CA 94541
Phone (510) 538-3866
5161 California Ave
Ste 200
Irvine, CA 92617
Phone (949) 543-0124
6350 Laurel Canyon Blvd
Ste 205
North Hollywood, CA 91606
Phone (818) 325-2090
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1245630607
-
- Family Health Clinical Nurse Specialist
- North Hollywood, CA
- NPI 1700282654
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1114393311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533945600000",
"number": "1003395864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3060 MCNAB AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908084002",
"telephone_number": "562-277-4741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 MCNAB AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908084002",
"telephone_number": "562-277-4741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOAK",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-11",
"last_updated": "2018-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95009397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.