Individual provider Active NPI

Marahmadelyn Moya

  • Family Nurse Practitioner
  • Danville, CA
National Provider Identifier
1386398832
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019812 Issued in CA
Practice address
617 Garden Creek PL
Danville, CA 94526-1730
Phone
(925) 725-5174
NPI assigned
Feb 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95019812 CA Primary

Addresses

Primary practice location

617 Garden Creek PL
Danville, CA 94526-1730

Mailing address

617 Garden Creek PL
Danville, CA 94526-1730
Phone (925) 725-5174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
714823CAMDLicensed Vocational Nurse
95019812CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Neurology, Inc. CurrentSince Dec 1, 2022 Accepting new patients

Locations

111 Deerwood Rd
Ste 305
San Ramon, CA 94583
Phone (279) 204-1134

675 Ygnacio Valley Rd
Ste A102
Walnut Creek, CA 94596
Phone (925) 414-5226

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1386398832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 GARDEN CREEK PL",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261730",
            "telephone_number": "925-725-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 GARDEN CREEK PL",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261730",
            "telephone_number": "925-725-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYA",
        "first_name": "MARAHMADELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.