Pao L. Moua

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

500 Jefferson Blvd
BLDG. B, Suite 150
West Sacramento, CA 95605-2350

Phone

(916) 376-8591

Fax

(916) 376-8595

NPI assigned

Oct 26, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1104126077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12310 MONTAUK WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957427724",
            "telephone_number": "916-833-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JEFFERSON BLVD",
            "address_2": "BLDG. B, SUITE 150",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956052350",
            "telephone_number": "916-376-8591",
            "fax_number": "916-376-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUA",
        "first_name": "PAO",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Moreno
• Sade Jordan Morgan-Wesley
• Bobbie Ann Morgan, RADT1
• Olive Dorothy Morrow
• Angela Moss Burns
• Adele Regina Moussas, M.D.
• Jeffery Fay Moy, M.D.
• Gustav Muehlenhaupt
• Maria Fernanda Munoz, BA, MSW IN PROGRESS
• Candace Murphy, FNP-BC

• Mental Health Counselor in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.