Individual provider Active NPI

Maria E Moya, M.D.

  • Psychiatry Physician
  • Rancho Mirage, CA
National Provider Identifier
1437259298
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A104790 Issued in CA
Practice address
42525 Rancho Mirage LN
Rancho Mirage, CA 92270-4312
Phone
(760) 776-6543
Fax
(760) 776-6546
NPI assigned
Sep 22, 2006
Last updated
Feb 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X A104790 CA
Psychiatry Physician 2084P0800X A104790 CA Primary

Addresses

Primary practice location

42525 Rancho Mirage LN
Rancho Mirage, CA 92270-4312

Mailing address

42525 Rancho Mirage LN
Rancho Mirage, CA 92270-4312
Phone (760) 776-6543

Other identifiers 1

IdentifierTypeStateIssuer
8416067MedicaidWA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090211000827 CA Practitioner - Psychiatry 4688621147 Reassigns benefits to 1 organization
Practice locations: Rancho Mirage, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

45280 Club Dr
Indian Wells, CA 92210-8860
Phone (760) 986-1191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A104790CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maria E. Moya, MD Inc Child & Adolescent Psychiatry CurrentSince Apr 24, 2022 Accepting new patients
Lourdes Hospital LLC Past Accepting new patients

Locations

45280 Club Dr
Indian Wells, CA 92210
Phone (760) 200-2992

42525 Rancho Mirage Ln
Rancho Mirage, CA 92270
Phone (760) 776-6543

Organizations & group practices 2

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1437259298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42525 RANCHO MIRAGE LN",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704312",
            "telephone_number": "760-776-6543",
            "fax_number": "760-776-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42525 RANCHO MIRAGE LN",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704312",
            "telephone_number": "760-776-6543",
            "fax_number": "760-776-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYA",
        "first_name": "MARIA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A104790",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A104790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8416067",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.