Moellmer, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4602 Issued in CA

Legal business name

MOELLMER, INC

Practice address

1212 N Park Ave
Pomona, CA 91768-3029

Phone

(909) 623-4484

NPI assigned

Sep 7, 2010

Last updated

Sep 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Moellmer, DPM

Title

President

Phone

(310) 766-0200

Specialties & licenses 1

Addresses

Tax ID family

Moellmer Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Moellmer, Inc.

  • Foot & Ankle Surgery Podiatrist
  • San Bernardino, CA
  • NPI 1972883536
  NPD tax ID

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1164739637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683029",
            "telephone_number": "909-623-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOELLMER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "MOELLMER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-766-0200",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Rose Uyemura Mix
• Shannon Melody Mizrahi
• MJB Partners LLC (Pomona Vista Care Center)
• Heidi Moc, PHARM.D.
• Karen L. Modjeski, SUDRC 17228
• Rebecca Anne Moellmer, D.P.M.
• Nava Mogharei
• Ayyampalayam Raju Mohan
• Eshanee Mohanty
• Rohit Mohindra, DO

• Foot & Ankle Surgery Podiatrist in Pomona, CA
• Providers in Pomona, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.