Individual provider Active NPI

Carl Kwok Moy, M.D.,

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1063594265
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G43977 Issued in CA
Practice address
711 W College St
Suite 540
Los Angeles, CA 90012-1163
Phone
(213) 626-5151
Fax
(213) 626-0510
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G43977 CA Primary

Addresses

Primary practice location

711 W College St
Suite 540
Los Angeles, CA 90012-1163

Mailing address

711 W College St
Suite 540
Los Angeles, CA 90012-1163
Phone (213) 626-5151

Other identifiers 1

IdentifierTypeStateIssuer
00G439770MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120125000808 CA Practitioner - Obstetrics/Gynecology 7719157437 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G43977CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carl K. Moy, M.D. Inc Obstetrics & Gynecology CurrentSince Jan 1, 1973 Accepting new patients
Carl K. Moy, M.D. Inc. Obstetrics & Gynecology CurrentSince Jan 1, 1973 Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Pamc LTD Pacific Alliance Medical Center PastSince Dec 1, 1989 Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients

Locations

711 W College St
Ste M88
Los Angeles, CA 90012
Phone (213) 625-8825

711 W College St
Ste 540
Los Angeles, CA 90012
Phone (213) 673-1880

500 N Garfield Ave
Ste 104
Monterey Park, CA 91754
Phone (626) 280-3781

Interoperability endpoints

  • Direct secure messaging: carl.moy.p1@direct.cscla.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1063594265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST",
            "address_2": "SUITE 540",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121163",
            "telephone_number": "213-626-5151",
            "fax_number": "213-626-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST",
            "address_2": "SUITE 540",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121163",
            "telephone_number": "213-626-5151",
            "fax_number": "213-626-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOY",
        "first_name": "CARL",
        "middle_name": "KWOK",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G43977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G439770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.