Active NPI
George Douglas Moir, M.D.
- Cardiovascular Disease Physician
- Escondido, CA
National Provider Identifier
1063411544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- C36411
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GG654Z | Other | CA | MEDICARE PTAN |
| 00C364110 | Medicaid | CA |
Other names 1
- G. Douglas Moir
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 |
|---|---|---|---|
| C36411 | CA | MD | Cardiovascular 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.