Individual provider Active NPI

Moriah Psalm Barboza, N.P.

  • Nurse Practitioner
  • Palm Desert, CA
National Provider Identifier
1417110347
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
18237 Issued in CA
Practice address
36867 Cook St Ste 101
Palm Desert, CA 92211-6064
Phone
(760) 341-1999
Fax
(760) 341-1997
NPI assigned
Jul 10, 2008
Last updated
Feb 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 18237 CA Primary

Addresses

Primary practice location

36867 Cook St Ste 101
Palm Desert, CA 92211-6064

Mailing address

1275 E Latham Ave Ste a
Hemet, CA 92543-4424
Phone (951) 652-5555

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081222000563 CA Practitioner - Nurse Practitioner 7810059086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

36867 Cook St
Suite 101
Palm Desert, CA 92211-6064
Phone (760) 341-1999

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as group
Quality
90.85
Promoting interoperability
87
Improvement activities
40
Cost
71.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18237CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Csi Medical Group CurrentSince Feb 21, 2022 Accepting new patients

Locations

36867 Cook St
Ste 101
Palm Desert, CA 92211
Phone (760) 341-1999

18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407

Interoperability endpoints

  • Direct secure messaging: moriah.barboza@schweigerderm.emadirect.md
  • Direct secure messaging: mbarboza@csisouthca.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1417110347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 E LATHAM AVE STE A",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434424",
            "telephone_number": "951-652-5555",
            "fax_number": "951-766-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36867 COOK ST STE 101",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116064",
            "telephone_number": "760-341-1999",
            "fax_number": "760-341-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOZA",
        "first_name": "MORIAH",
        "middle_name": "PSALM",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "18237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.