Eileen V Moy Professional Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EILEEN V MOY PROFESSIONAL CORPORATION

Practice address

3334 Lantern Way
San Jose, CA 95111-1317

Phone

(408) 202-1962

NPI assigned

Jun 1, 2020

Organization subpart

Yes

Parent organization

EILEEN V MOY PROFESSIONAL ORGANIZATIONAs reported in NPPES

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

Authorized official

Name

Dr. Eileen V Moy, MDNPI 1083617583

Title

President

Phone

(408) 202-1962

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Urgent Doc Pro Doing business as
• UrgentDoc.pro Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Eileen V Moy Professional Corporation

Practitioners 1

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

• Eileen V. Moy, MD

  • Internal Medicine Physician
  • Menlo Park, CA
  • NPI 1083617583
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1376167700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 LANTERN WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111317",
            "telephone_number": "408-202-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 LANTERN WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111317",
            "telephone_number": "408-202-1962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2588 Knox Cove Dr",
            "address_purpose": "LOCATION",
            "city": "McKinleyville",
            "state": "CA",
            "postal_code": "955193373",
            "country_code": "US",
            "telephone_number": "408-202-1962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EILEEN V MOY PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EILEEN V MOY PROFESSIONAL ORGANIZATION",
        "enumeration_date": "2020-06-01",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "MOY",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-202-1962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083617583",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urgentdoc@direct.practicefusion.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2588 Knox Cove Dr",
            "city": "McKinleyville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955193373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Urgent Doc Pro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UrgentDoc.pro",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fred Lynn Egelston, DDS
• Jacklyn Joan Egnor, CMT, NCMMT
• Ksenia Egorova
• Faina Eichis
• Tara Eiland
• Leah Dawn Einhorn, PT, DPT, OCS,FAAOMPT
• Pedram Eisapooran, DDS
• Orly Eitan
• Sarah Ruth Eitzman, MD
• Ej Bang'S Acupuncture

• Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.