Individual provider Active NPI

Howard Moshe Mochayoff

  • Occupational Vision Optometrist
  • Los Angeles, CA
National Provider Identifier
1386351955
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Vision OptometristTaxonomy code 152WX0102X
License
72266 Issued in CA
Practice address
5552 W Adams Blvd
Los Angeles, CA 90016-2542
Phone
(323) 932-6828
Fax
(323) 932-6001
NPI assigned
Nov 2, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Vision OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WX0102X 72266 CA Primary

Addresses

Primary practice location

5552 W Adams Blvd
Los Angeles, CA 90016-2542

Mailing address

5552 W Adams Blvd
Los Angeles, CA 90016-2542
Phone (323) 932-6828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
72266CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1386351955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5552 W ADAMS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900162542",
            "telephone_number": "323-932-6828",
            "fax_number": "323-932-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5552 W ADAMS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900162542",
            "telephone_number": "323-932-6828",
            "fax_number": "323-932-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCHAYOFF",
        "first_name": "HOWARD",
        "middle_name": "MOSHE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WX0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "CA",
            "license": "72266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.