Active NPI
Charles A Moser, PH.D., M.D.
- Internal Medicine Physician
- San Francisco, CA
National Provider Identifier
1083615983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G75487
- Practice address
- 45 Castro St
San Francisco, CA 94114-1010 - Phone
- (415) 600-4900
- Fax
- (415) 369-1365
- NPI assigned
- Aug 2, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G75487 | CA | Primary |
Addresses
Primary practice location
45 Castro St
San Francisco, CA 94114-1010
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (415) 600-4900
Other practice location 1
899 Valencia St
San Francisco, CA 94110-1736
Phone (415) 600-6960
Other practice location 2
1199 Bush St Ste 400
San Francisco, CA 94109-5975
Phone (415) 921-8210
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001CA04167 | Other | CA | TRICARE |
| 00G754870 | Other | CA | BLUE SHIELD |
| 00G754870 | Medicaid | CA | |
| 110129325 | Other | CA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 11, 2025 through May 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75487 | CA | MD | Pharmacist |
| G75487 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCSF Medical Group Business Services | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- cmoser115262@hisp.ehr.sutterhealth.org
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1083615983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "415-600-4900",
"fax_number": "415-369-1365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 CASTRO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941141010",
"telephone_number": "415-600-4900",
"fax_number": "415-369-1365"
}
],
"practiceLocations": [
{
"address_1": "899 Valencia St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941101736",
"country_code": "US",
"telephone_number": "415-600-6960",
"fax_number": "415-369-1244",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1199 Bush St Ste 400",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941095975",
"country_code": "US",
"telephone_number": "415-921-8210",
"fax_number": "415-921-0387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSER",
"first_name": "CHARLES",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D., M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G75487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "001CA04167",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G754870",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G754870",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110129325",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.