Active NPI
Charlene Moskovitz, M.D.
- Psychiatry Physician
- Upland, CA
National Provider Identifier
1114000155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G45670
- Practice address
- 1317 W. Foothill Boulevard
Suite 140
Upland, CA 91786 - Phone
- (909) 981-4242
- Fax
- (909) 981-0639
- NPI assigned
- Oct 23, 2006
- Last updated
- Mar 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | G45670 | CA | |
| Psychiatry Physician | 2084P0800X | G45670 | CA | Primary |
Addresses
Primary practice location
1317 W. Foothill Boulevard
Suite 140
Upland, CA 91786
Mailing address
1317 W. Foothill Boulevard
Suite 140
Upland, CA 91786
Phone (909) 981-4242
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 Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45670 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zimbroff and Moskovitz | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Upland, CA
- NPI 1801970165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1114000155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 W. FOOTHILL BOULEVARD",
"address_2": "SUITE 140",
"city": "UPLAND",
"state": "CA",
"postal_code": "91786",
"telephone_number": "909-981-4242",
"fax_number": "909-981-0639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 W. FOOTHILL BOULEVARD",
"address_2": "SUITE 140",
"city": "UPLAND",
"state": "CA",
"postal_code": "91786",
"telephone_number": "909-981-4242",
"fax_number": "909-981-0639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSKOVITZ",
"first_name": "CHARLENE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "G45670",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G45670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.