Active NPI
Ian Tiler Mosier
- Clinical Psychologist
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35202
- Practice address
- 3124 International Blvd
Oakland, CA 94601-2902 - Phone
- (510) 535-4400
- NPI assigned
- Mar 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | CA | ||
| Clinical Psychologist | 103TC0700X | 35202 | CA | Primary |
Addresses
Primary practice location
3124 International Blvd
Oakland, CA 94601-2902
Mailing address
50 W Manor Dr Unit 1358
Pacifica, CA 94044-8811
Phone (415) 212-8790
Other practice location 1
660 El Camino Real # 220
Millbrae, CA 94030-2059
Phone (415) 212-8790
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Southern Illinois University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
160 Capp St
San Francisco, CA 94110-1210
Phone (510) 485-5948
2920 International Blvd
Oakland, CA 94601-2228
2950 International Blvd
Oakland, CA 94601-2228
Phone (510) 485-5948
3124 International Blvd
Oakland, CA 94601-2902
Phone (510) 485-5948
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35202 | CA | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Native American Health Center, Inc | Current | Accepting new patients | |
| Native American Health Center, Inc | Current | Accepting new patients | |
| Mosaic Psychotherapy, PC | Counseling | Current | Accepting new patients |
| Native American Health Center, Inc | Current | Accepting new patients |
Locations
660 El Camino Real
#220
Millbrae, CA 94030
Phone (415) 212-8790
3124 International Blvd
Oakland, CA 94601
Phone (510) 434-5300
3124 International Blvd
#2D
Oakland, CA 94601
2950 International Blvd
Oakland, CA 94601
Phone (510) 485-5948
160 Capp St
San Francisco, CA 94110
Phone (415) 417-3500
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1669642914
-
- Counseling Psychologist
- Millbrae, CA
- NPI 1366245813
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1477250504
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1619147030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764201600000",
"number": "1356045181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 W MANOR DR UNIT 1358",
"city": "PACIFICA",
"state": "CA",
"postal_code": "940448811",
"telephone_number": "415-212-8790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3124 INTERNATIONAL BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946012902",
"telephone_number": "510-535-4400"
}
],
"practiceLocations": [
{
"address_1": "660 El Camino Real # 220",
"address_purpose": "LOCATION",
"city": "Millbrae",
"state": "CA",
"postal_code": "940302059",
"country_code": "US",
"telephone_number": "415-212-8790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSIER",
"first_name": "IAN",
"middle_name": "TILER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-27",
"last_updated": "2025-11-27",
"certification_date": "2025-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "35202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2025; 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.