Organization Active NPI

Joseph Moza, MD, Inc

  • Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1164789459
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A 44933 Issued in CA
Legal business name
JOSEPH MOZA, MD, INC
Practice address
28 Ebb Tide Cir
Newport Beach, CA 92663-2842
Phone
(760) 370-0209
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Dr. Joseph Moza, MDNPI 1356336127
Title
President
Phone
(760) 326-7279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A 44933 CA Primary

Addresses

Primary practice location

28 Ebb Tide Cir
Newport Beach, CA 92663-2842

Mailing address

PO Box 2333
Newport Beach, CA 92659-1333
Phone (559) 281-1024

Other identifiers 2

IdentifierTypeStateIssuer
1164789459MedicaidCA
1356336127MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120702000394 CA Part B Supplier - Clinic/Group Practice 0345405031 Receives reassigned benefits from 1 practitioner
Practice locations: Norwalk, CA; Palm Desert, CA; Santa Ana, CA

National Provider Directory

National Provider Directory

Locations

1550 Pepper Dr
Ste B
El Centro, CA 92243
Phone (760) 312-5900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1164789459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2333",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926591333",
            "telephone_number": "559-281-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 EBB TIDE CIR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632842",
            "telephone_number": "760-370-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH MOZA, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "MOZA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-326-7279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A 44933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164789459",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356336127",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.