Active NPI
Emily Anne Moody, MD
- Pediatrics Physician
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A193516
- Practice address
- 747 52ND St Ste 245
Oakland, CA 94609-1809 - Phone
- (510) 428-3331
- NPI assigned
- Jun 16, 2019
- Sex
- Female
- 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 | A193516 | CA | Primary |
Addresses
Primary practice location
747 52ND St Ste 245
Oakland, CA 94609-1809
Mailing address
747 52ND St Ste 245
Oakland, CA 94609-1809
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A193516 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Pediatrics | Current | Accepting new patients |
| UCSF Pediatrics Associates | Pediatrics | Current | Accepting new patients |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco Medical Center | Past | Accepting new patients | |
| UCSF Dept of Surgery | Past | Accepting new patients |
Locations
3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020
5400 Telegraph Ave
Oakland, CA 94609
Phone (510) 428-3226
8711 MacArthur Blvd
Ste A
Oakland, CA 94605
2607 Myrtle St
Oakland, CA 94607
Phone (510) 238-8607
5220 Claremont Ave
Oakland, CA 94618
Phone (510) 428-3129
747 52nd St
Ste 245
Oakland, CA 94609
Phone (510) 428-3331
747 52nd St
Ste St
Oakland, CA 94609
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
1975 4th St
San Francisco, CA 94143
Phone (415) 353-3000
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606
Interoperability endpoints
- emoody184091@direct-ucsfmedicalcenter.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1376614016
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
- Surgery Physician
- San Francisco, CA
- NPI 1477627537
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1144325440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1144880832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 52ND ST STE 245",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 52ND ST STE 245",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091809",
"telephone_number": "510-428-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "EMILY",
"middle_name": "ANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-16",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A193516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.