Active NPI
David Moxley
- Licensed Psychiatric Technician
- San Diego, CA
National Provider Identifier
1235378142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- PT 25316
- Practice address
- 1568 6TH Ave
San Diego, CA 92101-3216 - Phone
- (619) 235-2600
- NPI assigned
- Feb 17, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | PT 25316 | CA | Primary |
Addresses
Primary practice location
1568 6TH Ave
San Diego, CA 92101-3216
Mailing address
1568 6TH Ave
San Diego, CA 92101-3216
Phone (619) 235-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 25316 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1235378142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1568 6TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921013216",
"telephone_number": "619-235-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1568 6TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921013216",
"telephone_number": "619-235-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOXLEY",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-17",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT 25316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.