Tobias Moeller-Bertram MD Corporation
Organization Active NPI Durable Medical Equipment & Medical Supplies · Riverside, CA
NPI 1154218451 · NPPES record last updated Aug 22, 2025
Key facts
- NPI
- 1154218451
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- TOBIAS MOELLER-BERTRAM MD CORPORATION
- Practice address
- 7065 Indiana Ave Ste 100&110
Riverside, CA 92506-4167 - Phone
- (951) 476-0115
- Fax
- (951) 476-0116
- NPI assigned
- Jun 19, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- TOBIAS MOELLER-BERTRAM MD CORPORATION
Authorized official
- Name
- Tobias Moeller-Bertram, MD
- Title
- Ceo
- Phone
- (800) 285-3755
Other NPIs with the same Medicare PAC ID 8
Corporate family (same tax ID) 13
Member of 1
Practitioners 56
-
Hary R Ailinani, MD
-
Vickie R Alexander, FNP-BC
-
Stephen Arrey, FNP
-
Tamara Ashford, FNP
-
Kacie Astorga, NP
-
Payal Samir Bhavsar, FNP-BC
-
Harrier Cagatay, PAC
-
Wayne Carpenter, FNP
-
Oksana Dolinskiy, NP
-
Joseph Wayne Dunn, PH.D.
-
Michelle Yap Echeverria, FNP-BC
-
Darlene S. Emerine, MFTI
-
Mickey Michelle Fox, FNP-BC
-
Daniel Gamble, DC
-
Justina Guirguis, LMFT
-
Susan Marie Hannon, LCSW
-
Charlisa Heyward, DNP, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251031004060 | CA | DME Supplier - Multi-Specialty - Physician | 1456586064 | Practice locations: Riverside, CA |
National Provider Directory
- Tax ID family
- Tobias Moeller Bertram MD
- Part of
- Tobias Moeller Bertram MD
Locations
7065 Indiana Ave
Ste 100110
Riverside, CA 92506
Phone (951) 476-0115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
7065 Indiana Ave Ste 100&110
Riverside, CA 92506-4167
Mailing address
44630 Monterey Ave Ste 100
Palm Desert, CA 92260-3326
Phone (800) 285-3755
Other names
- Lifekind Health
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All providers in Riverside, CA · Durable Medical Equipment & Medical Supplies in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.