Individual provider Active NPI

Amir Moldovan, MD

  • Rheumatology Physician
  • Santa Clarita, CA
National Provider Identifier
1295777837
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A104056 Issued in CA
Practice address
23206 Lyons Avenue
Suite 106
Santa Clarita, CA 92321-2671
Phone
(661) 505-9901
Fax
(661) 505-9902
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A104056 CA Primary

Addresses

Primary practice location

23206 Lyons Avenue
Suite 106
Santa Clarita, CA 92321-2671

Mailing address

23206 Lyons Avenue
Suite 106
Santa Clarita, CA 92321-2671
Phone (661) 505-9901

Other identifiers 1

IdentifierTypeStateIssuer
GC959ZOtherCAMEDICARE PTAN

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
I20120606000765 CA Practitioner - RheumatologyPractitioner - Internal Medicine 8628081874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
New York Medical College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23206 Lyons Ave
Suite 106
Santa Clarita, CA 91321-2671
Phone (661) 505-9901

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.55 of 100Reported as individual
Quality
67.09
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates of Southern California Rheumatology CurrentSince Jun 1, 2012 Accepting new patients

Locations

23206 Lyons Ave
Ste 106
Santa Clarita, CA 91321
Phone (661) 505-9901

Interoperability endpoints

  • Direct secure messaging: amir.moldovan.p89@direct.aara1.nextgenshare.com

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.

Hospital & facility affiliations 3

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1295777837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23206 LYONS AVENUE",
            "address_2": "SUITE 106",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "923212671",
            "telephone_number": "661-505-9901",
            "fax_number": "661-505-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23206 LYONS AVENUE",
            "address_2": "SUITE 106",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "923212671",
            "telephone_number": "661-505-9901",
            "fax_number": "661-505-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDOVAN",
        "first_name": "AMIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A104056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GC959Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.