Individual provider Active NPI

Thomas Michael Mosca, DC

  • Chiropractor
  • Los Gatos, CA
National Provider Identifier
1205966504
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0199250 Issued in CA
Practice address
20 S Santa Cruz Ave Ste 207
Los Gatos, CA 95030-6827
Phone
(408) 354-5645
Fax
(408) 354-5945
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0199250 CA Primary

Addresses

Primary practice location

20 S Santa Cruz Ave Ste 207
Los Gatos, CA 95030-6827

Mailing address

20 S Santa Cruz Ave Ste 207
Los Gatos, CA 95030-6827
Phone (408) 354-5645

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101207000243 CA Practitioner - Chiropractic 2668669417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

262 E Hamilton Ave
Suite H
Campbell, CA 95008-0238
Phone (408) 354-5645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0199250CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mosca Chiropractic Healing Center a Professional Corporation Chiropractor CurrentSince Jul 12, 2010 Accepting new patients

Locations

262 E Hamilton Ave
Ste H
Campbell, CA 95008
Phone (408) 354-5645

20 S Santa Cruz Ave
Ste 207
Los Gatos, CA 95030
Phone (408) 354-5645

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1205966504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S SANTA CRUZ AVE STE 207",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306827",
            "telephone_number": "408-354-5645",
            "fax_number": "408-354-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S SANTA CRUZ AVE STE 207",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306827",
            "telephone_number": "408-354-5645",
            "fax_number": "408-354-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCA",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0199250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.