Angela Moore-Hodge

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

PA11502 Issued in CA

Practice address

2975 Wilshire Blvd Ste 401
4116 Camino Real Los Angeles, Ca. 90065
Los Angeles, CA 90010-1112

Phone

(213) 368-1654

Fax

(213) 368-1658

NPI assigned

Jun 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Moore-Hodge Professional name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healing Hands Medical Group, a Medical CorporationGroup PAC ID 5991894537, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Healing Hands Medical Group, a Medical Corporation

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1184740367
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1295932937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 WILSHIRE BLVD STE 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101112",
            "telephone_number": "213-368-1654",
            "fax_number": "213-368-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 WILSHIRE BLVD STE 401",
            "address_2": "4116 CAMINO REAL LOS ANGELES, CA. 90065",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101112",
            "telephone_number": "213-368-1654",
            "fax_number": "213-368-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-HODGE",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "PA11502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MOORE-HODGE",
            "credential": "P.A.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Grace Hillary Ann Mooney, NP
• Larissa Jeanette Mooney, M.D.
• Moonlight Garden Residential Care Facilities for Elderly Inc
• Moor Out of Life
• Lesley Moorcroft, L.AC
• Tumani S. Moore-Leatherwood, MD
• Ayesha Moore-Muhammad
• Ryeisha Shawntae Moore-Nash
• Adrianne M Moore
• Alexandra Moore

• Geriatric Medicine (Internal Medicine) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.