Devadas Moses

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

A046492 Issued in CA

Legal business name

DEVADAS MOSES

Practice address

2880 Hulen PL
Riverside, CA 92507-2606

Phone

(951) 715-3448

Fax

(951) 715-3449

NPI assigned

Oct 19, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Dharmaseeli E Moses

Title

Clinical Services Coordinator

Phone

(951) 715-3448

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Devadas S. Moses, MD, FACP, DR.PH.

  • Internal Medicine Physician
  • Beaumont, CA
  • NPI 1023177607
  NPD (past)

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1336492974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 HULEN PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072606",
            "telephone_number": "951-715-3448",
            "fax_number": "951-715-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 HULEN PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072606",
            "telephone_number": "951-715-3448",
            "fax_number": "951-715-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVADAS MOSES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "DHARMASEELI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINICAL SERVICES COORDINATOR",
        "authorized_official_telephone_number": "951-715-3448",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "A046492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A464920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Paige Desmond
• Ryan Despain, PT, DPT
• Trevyn Lloyd Despain, RPT
• Raegan Desrosiers, RN
• Rochelle Destacamento, CAAR.CG.60712826
• Kristopher Devasher
• Sandralee Deville
• Akimi Devoe, RN
• Meghan Devore, AMFT, APCC
• Paul J Dewaard, P.A.

• Federally Qualified Health Center (FQHC) in Riverside, CA
• Providers in Riverside, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.