Organization Active NPI

Ovi Moas M D a Professional Corporation

  • Family Medicine Physician
  • Temple City, CA
National Provider Identifier
1003856402
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A35730 Issued in CA
Legal business name
OVI MOAS M D A PROFESSIONAL CORPORATION
Practice address
9815 Las Tunas Dr
Temple City, CA 91780-2209
Phone
(626) 285-7158
Fax
(626) 285-9392
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Holly Kay Beattie
Title
Office Manager
Phone
(626) 285-7158

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A35730 CA Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X A35730 CA

Addresses

Primary practice location

9815 Las Tunas Dr
Temple City, CA 91780-2209

Mailing address

9815 Las Tunas Dr
Temple City, CA 91780-2209
Phone (626) 285-7158

Other identifiers 1

IdentifierTypeStateIssuer
00A357300MedicaidCA

National Provider Directory

National Provider Directory

Locations

7455 Lankershim Blvd
Ste D
North Hollywood, CA 91605
Phone (818) 765-4917

9815 Las Tunas Dr
Temple City, CA 91780
Phone (626) 285-7158

Practitioners & affiliated clinicians

Practitioners 2

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": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1003856402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9815 LAS TUNAS DR",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802209",
            "telephone_number": "626-285-7158",
            "fax_number": "626-285-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 LAS TUNAS DR",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802209",
            "telephone_number": "626-285-7158",
            "fax_number": "626-285-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVI MOAS M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-01-08",
        "certification_date": "2023-12-10",
        "status": "A",
        "authorized_official_last_name": "BEATTIE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-285-7158"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A35730",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A35730",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A357300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.