Individual provider Active NPI

Maia Alexandra Mosse

  • Internal Medicine Physician
  • Woodside, CA
National Provider Identifier
1154940187
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A186230 Issued in CA
Practice address
2979 Woodside Rd
Woodside, CA 94062-2443
Phone
(650) 851-4747
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A186230 CA Primary

Addresses

Primary practice location

2979 Woodside Rd
Woodside, CA 94062-2443

Mailing address

2979 Woodside Rd
Woodside, CA 94062-2443
Phone (650) 851-4747

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230807002913 CA Practitioner - Internal Medicine 9739540782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Stanford University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Village DoctorGroup PAC ID 2163706854, 5 clinicians

Practice addresses (Care Compare)

2979 Woodside Rd
Woodside, CA 94062-2443
Phone (650) 331-0058

Hospital & facility affiliations

  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A186230CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LPCH Medical Group Div of Lucile PastSince Sep 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: maia.mosse@6298537164804.direct.elationemr.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1154940187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 WOODSIDE RD",
            "city": "WOODSIDE",
            "state": "CA",
            "postal_code": "940622443",
            "telephone_number": "650-851-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 WOODSIDE RD",
            "city": "WOODSIDE",
            "state": "CA",
            "postal_code": "940622443",
            "telephone_number": "650-851-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSE",
        "first_name": "MAIA",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A186230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, CA

Sources for this page

Verify at the official NPI Registry.