Active NPI
Moosa M Lunat, M.D.
- Pediatrics Physician
- Manteca, CA
National Provider Identifier
1265493217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A32534
- Practice address
- 1191 E Yosemite Ave
Suite B
Manteca, CA 95336-5011 - Phone
- (209) 823-8158
- Fax
- (209) 823-6186
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A32534 | CA | Primary |
Addresses
Primary practice location
1191 E Yosemite Ave
Suite B
Manteca, CA 95336-5011
Mailing address
1191 E Yosemite Ave
Suite B
Manteca, CA 95336-5011
Phone (209) 823-8158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A32534 | Medicaid | CA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A32534 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303430400000",
"number": "1265493217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1191 E YOSEMITE AVE",
"address_2": "SUITE B",
"city": "MANTECA",
"state": "CA",
"postal_code": "953365011",
"telephone_number": "209-823-8158",
"fax_number": "209-823-6186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1191 E YOSEMITE AVE",
"address_2": "SUITE B",
"city": "MANTECA",
"state": "CA",
"postal_code": "953365011",
"telephone_number": "209-823-8158",
"fax_number": "209-823-6186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNAT",
"first_name": "MOOSA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2011-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A32534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A32534",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.