Susan L Moffatt, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6257 Issued in CA

Practice address

231 N Dos Caminos Ave
Ventura, CA 93003-1660

Phone

(805) 653-5070

Fax

(805) 653-8099

NPI assigned

Oct 4, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

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.

• Robert Keith Moffatt, MD

  • Family Medicine Physician
  • Ventura, CA
  • NPI 1952399974
  Medicare reassignment

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356338354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 N DOS CAMINOS AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031660",
            "telephone_number": "805-653-5070",
            "fax_number": "805-653-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N DOS CAMINOS AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031660",
            "telephone_number": "805-653-5070",
            "fax_number": "805-653-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFATT",
        "first_name": "SUSAN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "6257",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "333036",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN NP #",
            "identifier": "333036",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mobility Collective Physical Therapy and Wellness Inc (Mobility Collective Co)
• Anastasia Mobley Tobias
• Douglas Raymond Moes, PH.D., BCBA-D
• Kristina Lynn Moes, LCSW
• Robert Keith Moffatt, MD
• Marcie Mofid, PA-C
• Shirin Moghtanei, PHARMD
• Angela Mohan, MFC 31627
• Raagav Mohanakrishnan, DO, MPH
• Margaret Mohun, LM, CPM

• Family Nurse Practitioner in Ventura, CA
• Providers in Ventura, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.