Moises Dobarganes Arnp PA

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

MOISES DOBARGANES ARNP PA

Practice address

4883 Palm Coast Pkwy NW Unit 1
Palm Coast, FL 32137-3675

Phone

(386) 585-4556

Fax

(386) 585-4529

NPI assigned

Mar 16, 2015

Organization subpart

No

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

Authorized official

Name

Moises Dobarganes, APRNNPI 1538235551

Title

President

Phone

(386) 585-4556

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Moises Dobarganes, APRN

  • Gerontology Nurse Practitioner
  • Palm Coast, FL
  • NPI 1538235551
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629590400000",
    "number": "1356734396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4883 PALM COAST PKWY NW UNIT 1",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373675",
            "telephone_number": "386-585-4556",
            "fax_number": "386-585-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4883 PALM COAST PKWY NW UNIT 1",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373675",
            "telephone_number": "386-585-4556",
            "fax_number": "386-585-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOISES DOBARGANES ARNP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A",
        "authorized_official_last_name": "DOBARGANES",
        "authorized_official_first_name": "MOISES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-585-4556",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010602200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015501800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gerontology Nurse Practitioner in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.