Phillip Moise

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

2881 Castro Valley Blvd Ste 3
Castro Valley, CA 94546-5567

Phone

(510) 582-3707

NPI assigned

Jun 12, 2015

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1154702397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 CASTRO VALLEY BLVD STE 3",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465567",
            "telephone_number": "510-582-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 CASTRO VALLEY BLVD STE 3",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465567",
            "telephone_number": "510-582-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOISE",
        "first_name": "PHILLIP",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sourjya P. Misra, M.D.
• Nejat Mohammed
• Shaulnie Mohan, M.D.
• Nina Amy Mohazzab, D.D.S.
• Imran Mohiuddin
• Christine Moisenco, MFT
• Roxanne Janine Moniz, OTR/L
• Nilda Iris Montes, 101Y00000X
• Montgomery Care Senior Center LLC
• April Loraine Montoya

• Specialist in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.