Individual provider Active NPI

Catherine Elizabeth Moizeau, MD

  • Family Medicine Physician
  • Placerville, CA
National Provider Identifier
1205866613
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A81624 Issued in CA
Practice address
5168 Honpie Rd
Placerville, CA 95667-8682
Phone
(530) 387-4975
Fax
(530) 387-8062
NPI assigned
Jul 3, 2006
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A81624 CA Primary

Addresses

Primary practice location

5168 Honpie Rd
Placerville, CA 95667-8682

Mailing address

5168 Honpie Rd
Placerville, CA 95667-8682
Phone (530) 387-4975

Other identifiers 1

IdentifierTypeStateIssuer
00A816240OtherCAMEDI CAL

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
I20040629000666 CA Practitioner - Family PracticePractitioner - General Practice 7517943558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marshall Medical CenterGroup PAC ID 7517875859, shared by 7 NPIs, 168 clinicians
Shingle Springs RancheriaGroup PAC ID 6002863271, 16 clinicians

Practice addresses (Care Compare)

4201 Town Ctr Blvd
BLDG D
El Dorado Hills, CA 95762-7100
Phone (916) 905-6378

5168 Honpie Rd
Placerville, CA 95667-8682
Phone (530) 387-4975

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81624CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shingle Springs Rancheria CurrentSince Mar 17, 2012 Accepting new patients
Molina Healthcare of California Family Medicine Past Accepting new patients
Molina Medical Centers Family Medicine Past Accepting new patients
Health and Life Organization, Inc Past Accepting new patients
Molina Healthcare of California Past Accepting new patients
Health and Life Organization, Inc. Family Medicine PastSince Nov 28, 2021 Accepting new patients
Molina Healthcare of California Family Medicine Past Accepting new patients
Hanh Truong, M.D., PA Past Accepting new patients

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1205866613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5168 HONPIE RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678682",
            "telephone_number": "530-387-4975",
            "fax_number": "916-341-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5168 HONPIE RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678682",
            "telephone_number": "530-387-4975",
            "fax_number": "530-387-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOIZEAU",
        "first_name": "CATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A81624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "00A816240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

Verify at the official NPI Registry.