Individual provider Active NPI

George Douglas Moir, M.D.

  • Cardiovascular Disease Physician
  • Escondido, CA
National Provider Identifier
1063411544
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C36411 Issued in CA
Practice address
810 E Grand Ave
Escondido, CA 92025-3402
Phone
(760) 741-9318
Fax
(760) 741-9484
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C36411 CA Primary

Addresses

Primary practice location

810 E Grand Ave
Escondido, CA 92025-3402

Mailing address

810 E Grand Ave
Escondido, CA 92025-3402
Phone (760) 741-9318

Other identifiers 2

IdentifierTypeStateIssuer
GG654ZOtherCAMEDICARE PTAN
00C364110MedicaidCA

Other names 1

  • G. Douglas Moir Professional name

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

LicenseStateTypeSpecialty
C36411CAMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1063411544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253402",
            "telephone_number": "760-741-9318",
            "fax_number": "760-741-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253402",
            "telephone_number": "760-741-9318",
            "fax_number": "760-741-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOIR",
        "first_name": "GEORGE",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C36411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GG654Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C364110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "G.",
            "last_name": "MOIR",
            "middle_name": "DOUGLAS",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.