Moises Munoz

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1476270722 Issued in CA

Practice address

1111 N El Dorado St
Stockton, CA 95202-1305

Phone

(209) 938-0228

Fax

(209) 938-0281

NPI assigned

Nov 10, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Medmark Treatment Centers - Stockton, Inc.

  • Methadone Clinic
  • Stockton, CA
  • NPI 1851453500
  NPD (past)

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1073221875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N EL DORADO ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021305",
            "telephone_number": "209-938-0228",
            "fax_number": "209-938-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N EL DORADO ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021305",
            "telephone_number": "209-938-0228",
            "fax_number": "209-938-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "MOISES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1476270722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "moisesmunoz@medmark.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1111 N El Dorado St",
            "city": "Stockton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952021305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda C Munoz, RCP
• Malinda Marie Munoz
• Manuel Munoz
• Marina Lorraine Munoz
• Miguel Angel Munoz
• Viridiana Munoz, PPS
• Philip Erle Munsey, SLP
• Chrisann E Munson
• Malghalarah Murad
• Gary T Murata

• Addiction (Substance Use Disorder) Counselor in Stockton, CA
• Providers in Stockton, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.