Active NPI
Juan A. Mocega, MD
- Pediatrics Physician
- Gardena, CA
National Provider Identifier
1104876614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G41952
- Practice address
- 1141 W. Redondo BCH Blvd.
Suite 308
Gardena, CA 92047 - Phone
- (310) 807-9477
- Fax
- (310) 515-6474
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G41952 | CA | Primary |
Addresses
Primary practice location
1141 W. Redondo BCH Blvd.
Suite 308
Gardena, CA 92047
Mailing address
1141 W. Redondo BCH Blvd.
Suite 308
Gardena, CA 92047
Phone (310) 807-9477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A491250 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G41952 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juan Mocega MD Inc | Pediatrics | Past | Accepting new patients |
| Health Access for All Inc | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Gardena, CA
- NPI 1093954018
-
- Federally Qualified Health Center (FQHC)
- Huntington Park, CA
- NPI 1295288348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1104876614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 W. REDONDO BCH BLVD.",
"address_2": "SUITE 308",
"city": "GARDENA",
"state": "CA",
"postal_code": "92047",
"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 BCH BLVD.",
"address_2": "SUITE 308",
"city": "GARDENA",
"state": "CA",
"postal_code": "92047",
"telephone_number": "310-807-9477",
"fax_number": "310-515-6474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCEGA",
"first_name": "JUAN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G41952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A491250",
"state": "CA"
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.