NPIMap

Organization Active NPI

Juan Mocega MD Inc

  • Pediatrics Physician
  • Gardena, CA
National Provider Identifier
1093954018
Registry record updated Feb 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G41952 Issued in CA
Legal business name
JUAN MOCEGA MD INC
Practice address
1141 W Redondo Beach Blvd
Suite 308
Gardena, CA 90247-3586
Phone
(310) 807-9477
Fax
(310) 515-6474
NPI assigned
Feb 14, 2009
Last updated
Feb 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2009

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

Authorized official

Name
Dr. Juan A Mocega, MDNPI 1104876614
Title
Ceo
Phone
(310) 807-9477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G41952 CA Primary

Addresses

Primary practice location

1141 W Redondo Beach Blvd
Suite 308
Gardena, CA 90247-3586

Mailing address

1141 W Redondo Beach Blvd
Suite 308
Gardena, CA 90247-3586
Phone (310) 807-9477

National Provider Directory

National Provider Directory

Locations

1141 W Redondo Beach Blvd
Ste 308
Gardena, CA 90247
Phone (310) 807-9477

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1234569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234569600000",
    "number": "1093954018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 W REDONDO BEACH BLVD",
            "address_2": "SUITE 308",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473586",
            "telephone_number": "310-807-9477",
            "fax_number": "310-515-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 W REDONDO BEACH BLVD",
            "address_2": "SUITE 308",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473586",
            "telephone_number": "310-807-9477",
            "fax_number": "310-515-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN MOCEGA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-14",
        "last_updated": "2009-02-14",
        "status": "A",
        "authorized_official_last_name": "MOCEGA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-807-9477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G41952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2009; 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.