Active NPI
Joseph Moza, MD, Inc
- Surgery Physician
- Newport Beach, CA
National Provider Identifier
1164789459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A 44933
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Moza, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164789459 | Medicaid | CA | |
| 1356336127 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Norwalk, CA
- NPI 1356336127
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.