Individual provider Active NPI

Moises Aranda

  • Physician Assistant
  • Woodland, CA
National Provider Identifier
1104537968
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
66619 Issued in CA
Practice address
215 W Beamer St
Woodland, CA 95695-2510
Phone
(530) 405-2800
Fax
(530) 204-5295
NPI assigned
Dec 12, 2022
Last updated
Nov 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 66619 CA Primary

Addresses

Primary practice location

215 W Beamer St
Woodland, CA 95695-2510

Mailing address

1141 Pear Tree LN
Napa, CA 94558-6484

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251210000661 CA Practitioner - Physician Assistant 8022513191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Southern California Keck School of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1141 Pear Tree LN
Napa, CA 94558-6445

470 Chadbourne Rd
Fairfield, CA 94534-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
66619CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ole Health CurrentSince Nov 25, 2025 Accepting new patients
Ole Health Current Accepting new patients
Ole Health CurrentSince Nov 25, 2025 Accepting new patients
Ole Health Past Accepting new patients

Locations

1141 Pear Tree Ln
Napa, CA 94558
Phone (707) 258-6128

1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778

215 W Beamer St
Woodland, CA 95695
Phone (530) 405-2800

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1104537968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 PEAR TREE LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W BEAMER ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952510",
            "telephone_number": "530-405-2800",
            "fax_number": "530-204-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANDA",
        "first_name": "MOISES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "66619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

Verify at the official NPI Registry.