Active NPI
Moshe Faynsod, M.D. Inc
- Surgical Oncology Physician
- San Pedro, CA
National Provider Identifier
1114088630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- AO65167
- Legal business name
- MOSHE FAYNSOD, M.D. INC
- Practice address
- 1360 W 6TH St
Suite 315
San Pedro, CA 90732-3514 - Phone
- (310) 514-1150
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Moshe Faynsod, M.D.
- Title
- President
- Phone
- (310) 514-1150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | AO65167 | CA | Primary |
Addresses
Primary practice location
1360 W 6TH St
Suite 315
San Pedro, CA 90732-3514
Mailing address
1360 W 6TH St
Suite 315
San Pedro, CA 90732-3514
Phone (310) 514-1150
National Provider Directory
National Provider DirectoryNetworks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114088630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 W 6TH ST",
"address_2": "SUITE 315",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907323514",
"telephone_number": "310-514-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 W 6TH ST",
"address_2": "SUITE 315",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907323514",
"telephone_number": "310-514-1150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSHE FAYNSOD, M.D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FAYNSOD",
"authorized_official_first_name": "MOSHE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-514-1150",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": "CA",
"license": "AO65167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.