Moorpark Comprehensive Medical Care a Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6143 Issued in CA

Legal business name

MOORPARK COMPREHENSIVE MEDICAL CARE A PROFESSIONAL CORPORATION

Practice address

14711 Princeton Ave
Suite 2
Moorpark, CA 93021-1457

Phone

(805) 532-2032

Fax

(805) 532-2844

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nhat Cong Vo, MDNPI 1215924451

Title

Director

Phone

(805) 532-2032

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Moorpark Comprehensive Medical Group, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nhat Cong Vo, M.D.

  • Pediatrics Physician
  • Moorpark, CA
  • NPI 1215924451
  Medicare reassignment Authorized official
• Sendy Nguyen, PA-C

  • Physician Assistant
  • Moorpark, CA
  • NPI 1659084747
  NPD

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1285737288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14711 PRINCETON AVE",
            "address_2": "SUITE 2",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211457",
            "telephone_number": "805-532-2032",
            "fax_number": "805-532-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14711 PRINCETON AVE",
            "address_2": "SUITE 2",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211457",
            "telephone_number": "805-532-2032",
            "fax_number": "805-532-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORPARK COMPREHENSIVE MEDICAL CARE A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "NHAT",
        "authorized_official_middle_name": "CONG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "805-532-2032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6143",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A40181",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A60568",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A60568",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moorpark Comprehensive Medical Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren N. Mills, PSYD
• Luca C Minoli, CMT, ANMT
• Willow Catherine Mize
• Rebecca S Modglin
• Esther Moon, OTR
• Moorpark Comprehensive Urgent Care, Inc.
• Moorpark Family Medicine Inc
• Moorpark Optometric Eyecare, Inc
• Moorpark Physical Therapy & Sport Rehab Center
• Moorpark Unified School District

• Family Medicine Physician in Moorpark, CA
• Providers in Moorpark, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.