Individual provider Active NPI

Andrew Bradley Moss, M.D.

  • Emergency Medicine Physician
  • Sacramento, CA
National Provider Identifier
1174936686
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A183352 Issued in CA
Practice address
1020 29TH St Ste 550
Sacramento, CA 95816-5126
Phone
(916) 887-7955
NPI assigned
Jun 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X 01075963A IN
Family Medicine Physician 207Q00000X 01075963A IN
General Practice Physician 208D00000X 01075963A IN
Emergency Medicine Physician 207P00000X A183352 CA Primary

Addresses

Primary practice location

1020 29TH St Ste 550
Sacramento, CA 95816-5126

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071

Other practice location 1

6121 32nd St NW
Washington, DC 20015-2459
Phone (202) 412-7876

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
I20240223001125 CA Practitioner - General PracticePractitioner - Emergency Medicine 1355784398 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
Education
University of Kentucky College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

2800 L St
Sacramento, CA 95816-5616

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600

Hospital & facility affiliations

  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A183352CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of California, PC General Practice CurrentSince Jan 10, 2024 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Mar 5, 2024 Accepting new patients
Sutter Valley Medical Foundation Family Medicine CurrentSince Aug 16, 2025 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Mar 5, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Aug 16, 2025 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Mar 5, 2024 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

1020 29th St
Ste 550
Sacramento, CA 95816
Phone (916) 733-8766

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

250 W Main St
Woodland, CA 95695
Phone (916) 668-6100

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: amoss738782@hisp.ehr.sutterhealth.org

Organizations & group practices 9

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 1

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1174936686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228",
            "telephone_number": "800-470-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 29TH ST STE 550",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165126",
            "telephone_number": "916-887-7955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6121 32nd St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200152459",
            "country_code": "US",
            "telephone_number": "202-412-7876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "ANDREW",
        "middle_name": "BRADLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "IN",
            "license": "01075963A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01075963A",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01075963A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A183352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.