Organization Active NPI

William D. Mosier, M.D., Inc., a Professional Medical Corporation

  • Ophthalmology Physician
  • Fullerton, CA
National Provider Identifier
1003476508
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WILLIAM D. MOSIER, M.D., INC., A PROFESSIONAL MEDICAL CORPORATION
Practice address
265 Laguna Rd
Fullerton, CA 92835-2515
Phone
(714) 871-2570
Fax
(714) 441-2020
NPI assigned
Jun 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William D Mosier, MDNPI 1063553378
Title
Owner
Phone
(714) 871-2570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

265 Laguna Rd
Fullerton, CA 92835-2515

Mailing address

265 Laguna Rd
Fullerton, CA 92835-2515
Phone (714) 871-2570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200108000962 CA Part B Supplier - Clinic/Group Practice 2365877958 Receives reassigned benefits from 6 practitioners
Practice locations: Fullerton, CA

National Provider Directory

National Provider Directory

Locations

265 Laguna Rd
Fullerton, CA 92835
Phone (714) 773-1114

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1003476508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 LAGUNA RD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352515",
            "telephone_number": "714-871-2570",
            "fax_number": "714-441-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 LAGUNA RD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352515",
            "telephone_number": "714-871-2570",
            "fax_number": "714-441-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM D. MOSIER, M.D., INC., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "MOSIER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-871-2570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.