NPIMap

Organization Active NPI

Tobias Moeller-Bertram, M.D. Corp

  • Specialist
  • Newport Beach, CA
National Provider Identifier
1356760227
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A80383 Issued in CA
Legal business name
TOBIAS MOELLER-BERTRAM, M.D. CORP
Practice address
3857 Birch St
Suite 605
Newport Beach, CA 92660-2616
Phone
(949) 783-3600
Fax
(949) 783-3602
NPI assigned
Apr 8, 2014
Last updated
Apr 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Authorized official

Name
Ms. Heather McDonald
Title
Administrator
Phone
(949) 783-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A80383 CA Primary

Addresses

Primary practice location

3857 Birch St
Suite 605
Newport Beach, CA 92660-2616

Mailing address

4050 Airport Center Dr
Suite G
Palm Springs, CA 92264-1216
Phone (949) 783-3600

National Provider Directory

National Provider Directory
Tax ID family
Tobias Moeller Bertram MD14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

4050 Airport Center Dr
Ste G
Palm Springs, CA 92264
Phone (760) 320-1956

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1356760227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 AIRPORT CENTER DR",
            "address_2": "SUITE G",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641216",
            "telephone_number": "949-783-3600",
            "fax_number": "949-783-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3857 BIRCH ST",
            "address_2": "SUITE 605",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602616",
            "telephone_number": "949-783-3600",
            "fax_number": "949-783-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBIAS MOELLER-BERTRAM, M.D. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-783-3600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A80383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.