Individual provider Active NPI

Ian Tiler Mosier

  • Clinical Psychologist
  • Oakland, CA
National Provider Identifier
1356045181
Registry record updated Nov 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35202 Issued in CA
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

Updated by the provider on Nov 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905001993 CA Practitioner - Clinical Psychologist 1759821796 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
35202CAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Native American Health Center, Inc Current Accepting new patients
Native American Health Center, Inc CurrentSince Jul 24, 2024 Accepting new patients
Mosaic Psychotherapy, PC Counseling CurrentSince Apr 6, 2025 Accepting new patients
Native American Health Center, Inc CurrentSince Jul 24, 2024 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.

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

Verify at the official NPI Registry.