Active NPI
Mehran Mosley, MD
- Pediatrics Physician
- Palo Alto, CA
National Provider Identifier
1043423965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C53365
- Practice address
- 770 Welch Rd Ste 100
Palo Alto, CA 94304-1505 - Phone
- (650) 497-8000
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4802 | AK | |
| Pediatrics Physician | 208000000X | C53365 | CA | Primary |
Addresses
Primary practice location
770 Welch Rd Ste 100
Palo Alto, CA 94304-1505
Mailing address
PO Box 65
Palo Alto, CA 94302-0065
Phone (650) 503-3180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD90741 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4802 | AK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yukon-Kuskokwim Health Corporation | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/663c4c6d-1396-44a4-b589-c11a968d4876/
Organizations & group practices 1
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.
-
- Rural Acute Care Hospital
- Bethel, AK
- NPI 1063567691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371686400000",
"number": "1043423965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 65",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943020065",
"telephone_number": "650-503-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 WELCH RD STE 100",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041505",
"telephone_number": "650-497-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSLEY",
"first_name": "MEHRAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2013-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AK",
"license": "4802",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C53365",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD90741",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.