Active NPI
Inayat M Moosa, PA-C
- Medical Physician Assistant
- Rancho Mirage, CA
On this page
- Key facts
- Organizations & group practices10
- Hospital & facility affiliations1
- Care Compare profile
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses2
- Addresses
- Other identifiers3
- Electronic endpoints1
- NPI Registry JSON
- Other providers in Rancho Mirage, CA
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA20145
- Practice address
- 39000 Bob Hope Dr
Harry & Diane Rinker Building
Rancho Mirage, CA 92270-3221 - Phone
- (760) 568-2684
- Fax
- (760) 837-2269
- NPI assigned
- Sep 6, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Torrance, CA
- NPI 1003312620
-
- Internal Medicine Physician
- El Segundo, CA
- NPI 1093454969
-
- Oncology Pharmacist
- Torrance, CA
- NPI 1205206406
-
- Orthopaedic Surgery Physician
- Torrance, CA
- NPI 1306398219
-
- Internal Medicine Physician
- Manhattan Beach, CA
- NPI 1346812088
-
- Orthopaedic Surgery Physician
- Torrance, CA
- NPI 1598296410
-
- Orthopaedic Surgery Physician
- Hermosa Beach, CA
- NPI 1841721768
-
- Physical Therapist
- Allentown, PA
- NPI 1396775367
-
- Orthopaedic Surgery Physician
- Allentown, PA
- NPI 1801888987
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Torrance Health Association Inc
Practice addresses (Care Compare)
23560 Crenshaw Blvd
Torrance, CA 90505-5233
514 N Prospect Ave
FL 4
Redondo Beach, CA 90277-3040
Phone (310) 750-3300
Hospital & facility affiliations
- Torrance Memorial Medical Center
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: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150112000189 | CA | Practitioner - Physician Assistant | 1254245863 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA20145 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Torrance Health Association Inc | Current | Accepting new patients | |
| Orthopaedic Associates of Allentown | Past | Accepting new patients | |
| Orthopaedic Associates of Allentown | Past | Accepting new patients |
Locations
514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300
23550 Hawthorne Blvd
Ste 120
Torrance, CA 90505
Phone (310) 517-1216
23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205
23560 Crenshaw Blvd
Ste 102
Torrance, CA 90505
Phone (310) 784-2355
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA20145 | CA | |
| Medical Physician Assistant | 363AM0700X | PA20145 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
39000 Bob Hope Dr
Harry & Diane Rinker Building
Rancho Mirage, CA 92270-3221
Mailing address
PO Box 1730
Rancho Mirage, CA 92270-1058
Phone (760) 568-2684
Other practice location 1
45280 Seeley Dr., FL 2
La Quinta, CA 92253-6834
Phone (760) 568-2684
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00166467 | Other | PA | RAILROAD MEDICARE |
| PA20145 | Other | CA | CALIFORNIA LICENSE NO. |
| 50035047 | Other | PA | BLUE CROSS |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | imoosa43659@edirect.emc.org | Health Information Exchange (HIE) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 20, 2021.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1306830336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1730",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922701058",
"telephone_number": "760-568-2684",
"fax_number": "760-341-5832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"address_2": "HARRY & DIANE RINKER BUILDING",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703221",
"telephone_number": "760-568-2684",
"fax_number": "760-837-2269"
}
],
"practiceLocations": [
{
"address_1": "45280 Seeley Dr., FL 2",
"address_purpose": "LOCATION",
"city": "La Quinta",
"state": "CA",
"postal_code": "922536834",
"country_code": "US",
"telephone_number": "760-568-2684",
"fax_number": "760-341-5832",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOOSA",
"first_name": "INAYAT",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA20145",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA20145",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00166467",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LICENSE NO.",
"identifier": "PA20145",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "50035047",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "imoosa43659@edirect.emc.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "45280 Seeley Dr., FL 2",
"city": "La Quinta",
"state": "CA",
"country_code": "US",
"postal_code": "922536834",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.