G.Douglas Moir, M.D., Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

C36411 Issued in CA

Legal business name

G.DOUGLAS MOIR, M.D., INC

Practice address

810 E Grand Ave
Escondido, CA 92025-3402

Phone

(760) 741-9318

Fax

(760) 741-9484

NPI assigned

Dec 14, 2006

Organization subpart

Yes

Parent organization

G.DOUGLAS MOIR, M.D., INCAs reported in NPPES

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

Authorized official

Name

Ms. Edna B Manore

Title

Financial Administrator

Phone

(760) 741-9318

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Gdouglas Moir MD Inc

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1164584264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253402",
            "telephone_number": "760-741-9318",
            "fax_number": "760-741-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253402",
            "telephone_number": "760-741-9318",
            "fax_number": "760-741-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.DOUGLAS MOIR, M.D., INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "G.DOUGLAS MOIR, M.D., INC",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "MANORE",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "FINANCIAL ADMINISTRATOR",
        "authorized_official_telephone_number": "760-741-9318",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C36411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID# (PTAN)",
            "identifier": "W20352",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.