Individual provider Active NPI

Michael Nino Munoz Moya, M.D.

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1407146269
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A129830 Issued in CA
Practice address
1180 E Shaw Ave
Suite 101 (CHMG)
Fresno, CA 93710-7812
Phone
(559) 228-4245
NPI assigned
Apr 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A129830 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A129830 CA
Hospitalist Physician 208M00000X A129830 CA
Family Medicine Physician 207Q00000X A129830 CA Primary

Addresses

Primary practice location

1180 E Shaw Ave
Suite 101 (CHMG)
Fresno, CA 93710-7812

Mailing address

1180 E Shaw Ave
Suite 101
Fresno, CA 93710-7812
Phone (559) 228-4245

Other practice location 1

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140905000904 CA Practitioner - Family PracticePractitioner - HospitalistPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9638397557 Reassigns benefits to 3 organizations
I20200505003211 WA Practitioner - Family Practice 9638397557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Critical Care (Intensivists), Hospitalist, Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Agnes Medical FoundationGroup PAC ID 7618946369, 161 clinicians
Long Term Care Medical Group, IncGroup PAC ID 9032016068, 37 clinicians

Practice addresses (Care Compare)

1221 E Spruce Ave
Fresno, CA 93720-3374
Phone (559) 450-5777

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3433

1379 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-6388

4770 W Herndon Ave
Fresno, CA 93722-8401

650 W Alluvial Ave
Willow Creek Care Center
Fresno, CA 93611-6716
Phone (559) 499-1233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.57 of 100Reported as group
Quality
63.43
Promoting interoperability
98
Improvement activities
40
Cost
77.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Long Term Care Medical Group, Inc Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Saint Agnes Medical Foundation Family Medicine CurrentSince Jun 16, 2019 Accepting new patients
Cogent Healthcare of Washington, PC Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Community Foundation Medical Group Internal Medicine CurrentSince Jul 7, 2014 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Community Foundation Medical Group CurrentSince Jul 7, 2014 Accepting new patients
LQMG Medical Group Inc. Internal Medicine Current Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Cep America - California Past Accepting new patients

Locations

650 W Alluvial Ave
Clovis, CA 93611
Phone (559) 251-8463

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

4770 W Herndon Ave
Ste 110
Fresno, CA 93722
Phone (559) 450-0463

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

668 E Bullard Ave
Fresno, CA 93710
Phone (559) 320-2200

1180 E Shaw Ave
Ste 101
Fresno, CA 93710
Phone (559) 228-4222

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

685 W Alluvial Ave
Ste 103
Fresno, CA 93711
Phone (559) 274-6444

290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101

925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Interoperability endpoints

  • Direct secure messaging: mmoya2712587@direct.trinity-health.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407146269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 E SHAW AVE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107812",
            "telephone_number": "559-228-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 E SHAW AVE",
            "address_2": "SUITE 101 (CHMG)",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107812",
            "telephone_number": "559-228-4245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2823 Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937211324",
            "country_code": "US",
            "telephone_number": "559-459-6000",
            "fax_number": "559-459-6109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYA",
        "first_name": "MICHAEL",
        "middle_name": "NINO MUNOZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A129830",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A129830",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A129830",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A129830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.