Assanassios Moussa Faltas, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

133664 Issued in CA

Practice address

3400 West Ball Rd
Suite 202
Anaheim, CA 92804-3735

Phone

(714) 236-9663

NPI assigned

Feb 5, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: General Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Santa Marya Family Medicine Clinic IncGroup PAC ID 1951628338, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vast Home Health, Inc Home health agency, Burbank, CA, CCN 559036

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Santa Marya Family Medicine Clinic,Inc

  • Clinic/Center
  • Anaheim, CA
  • NPI 1245620442
  Medicare reassignment Care Compare group NPD
• VHS of Arrowhead, Inc.

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1255640819
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Vast Home Health, Inc

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1487168449
  Care Compare affiliation

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1366833899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 WEST BALL RD",
            "address_2": "SUITE 202",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043735",
            "telephone_number": "714-236-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 WEST BALL RD",
            "address_2": "SUITE 202",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043735",
            "telephone_number": "714-236-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSA FALTAS",
        "first_name": "ASSANASSIOS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "133664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CB230078",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lena Moua
• Jamila Moucharrafie, MD
• Danielle Rae Moulas
• Lacie Mounger
• Mountain Top Hospice Care, Inc.
• Hassan Movahedi, MD
• Pankaj J. Mowji, MD
• Georgina Isabel Moyers, MD
• Hugo Alberto Mozqueda
• MPFB Rehabilitation, Inc.

• Family Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.

Verify at the official NPI Registry.