Active NPI
Fred R Moss MD Inc
- Psychiatry Physician
- Carmichael, CA
National Provider Identifier
1033385539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35059484
- Legal business name
- FRED R MOSS MD INC
- Practice address
- 3233 California Ave
Carmichael, CA 95608-3934 - Phone
- (513) 419-9367
- Fax
- (513) 770-3393
- NPI assigned
- May 5, 2008
- Last updated
- Jul 31, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fred R Moss, MD
- Title
- President
- Phone
- (513) 419-9367
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35059484 | OH | Primary |
Addresses
Primary practice location
3233 California Ave
Carmichael, CA 95608-3934
Mailing address
3233 California Ave
Carmichael, CA 95608-3934
Phone (513) 419-9367
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0827672 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
5740 Gateway
Ste 101
Mason, OH 45040
Phone (513) 419-9367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375228800000",
"number": "1033385539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3233 CALIFORNIA AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956083934",
"telephone_number": "513-419-9367",
"fax_number": "513-770-3393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3233 CALIFORNIA AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956083934",
"telephone_number": "513-419-9367",
"fax_number": "513-770-3393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRED R MOSS MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-05",
"last_updated": "2013-07-31",
"status": "A",
"authorized_official_last_name": "MOSS",
"authorized_official_first_name": "FRED",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-419-9367",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35059484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0827672",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.