Devadas S. Moses, MD, FACP, DR.PH.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A46492 Issued in CA

Practice address

701 Highland Springs Ave Ste 5
Beaumont, CA 92223-2550

Phone

(951) 845-2342

Fax

(951) 845-0084

NPI assigned

Dec 8, 2006

Last updated

May 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Impress Home Health Care, Inc Home health agency, Granada Hills, CA, CCN 559501
• San Gorgonio Memorial Hospital Hospital, Banning, CA, CCN 050054
• Oak Glen Post Acute Nursing home, Cherry Valley, CA, CCN 555492

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Devadas Moses, a Professional Medical Corporation

  dba Devadas Moses

  • Internal Medicine Physician
  • Beaumont, CA
  • NPI 1457117798
  Medicare reassignment NPD Authorized official
• Devadas Moses

  • Federally Qualified Health Center (FQHC)
  • Riverside, CA
  • NPI 1336492974
  NPD (past)
• Hosea E Brown MD Inc

  • Allergy Physician
  • Palm Springs, CA
  • NPI 1316265010
  NPD (past)
• Loma Linda University Physicians Medical Group Inc

  • Internal Medicine Physician
  • Loma Linda, CA
  • NPI 1841230109
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Impress Home Health Care,Inc.

  • Home Health Agency
  • Granada Hills, CA
  • NPI 1295293702
  Care Compare affiliation
• Miravilla SNF Healthcare, LLC

  dba Oak Glen Post Acute

  • Skilled Nursing Facility
  • Cherry Valley, CA
  • NPI 1043908221

  Nursing home

  Care Compare affiliation
• San Gorgonio Memorial Hospital

  • General Acute Care Hospital
  • Banning, CA
  • NPI 1568469997
  Care Compare affiliation

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1023177607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HIGHLAND SPRINGS AVE STE 5",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232550",
            "telephone_number": "951-845-2342",
            "fax_number": "951-845-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HIGHLAND SPRINGS AVE STE 5",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232550",
            "telephone_number": "951-845-2342",
            "fax_number": "951-845-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "DEVADAS",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD, FACP, DR.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A46492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A464920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Efren Mora
• Joseph Donatelli Morales
• Katherine Moreno
• Amisi Magne Morisho, R.N.P.
• Michelle Alta Morton, FNP
• Shoua Moua, NP
• Aisha Mumssy Mtimkhulu Wise, RN
• Netsai Mugwira, RN
• Kimberly Theresa Munoz
• Naomi Nthenya Musembi-Johnson, RN

• Internal Medicine Physician in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.

Verify at the official NPI Registry.