Dawnell Jean Moody, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20A10486 Issued in CA

Practice address

5925 W Las Positas Blvd
Pleasanton, CA 94588-8537

Phone

(925) 462-1755

Fax

(925) 417-1503

NPI assigned

May 24, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Axis Community Health IncGroup PAC ID 7012975071, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highland Hospital Hospital, Oakland, CA, CCN 050320

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmoody251784@direct.ochin.org

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.

• Axis Community Health Inc

  dba Axis Community Health

  • Federally Qualified Health Center (FQHC)
  • Pleasanton, CA
  • NPI 1376760546
  Medicare reassignment Care Compare group NPD
• Axis Community Health Inc

  dba Axis Community Health

  • Federally Qualified Health Center (FQHC)
  • Pleasanton, CA
  • NPI 1336366509
  NPD
• Axis Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Livermore, CA
  • NPI 1336990506
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alameda Health System

  dba Highland General Hospital

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1083815872
  Care Compare affiliation
• Alameda Health System

  dba Highland General Hospital

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1396764353
  Care Compare affiliation
• Alameda Health System

  dba Highland General Hospital

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1700087590
  Care Compare affiliation

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144431750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4361 RAILROAD AVE",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666611",
            "telephone_number": "925-462-1755",
            "fax_number": "925-462-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 W LAS POSITAS BLVD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888537",
            "telephone_number": "925-462-1755",
            "fax_number": "925-417-1503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3311 Pacific Ave",
            "address_purpose": "LOCATION",
            "city": "Livermore",
            "state": "CA",
            "postal_code": "945507007",
            "country_code": "US",
            "telephone_number": "925-462-1755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOODY",
        "first_name": "DAWNELL",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A10486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monroe Operations, LLC (Newport Academy-Arena)
• Monroe Operations, LLC (Newport Academy-Oasis)
• Erica Monroe, ABA
• Leopoldo Montejo, MD
• Joy Montes
• Azlynn Starr Ilys Moore
• Chelsey Shannon Moore
• Gregg A. Moore, LCSW
• Neethu Moosariparambil Joseph
• Amairani Damaris Morales

• Pediatrics Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.