Active NPI
Jason Frederick Moy, MD
- Surgery Physician
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A104905
- Practice address
- 2637 Shadelands Dr
Walnut Creek, CA 94598-2512 - Phone
- (925) 932-6330
- Fax
- (925) 932-0139
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301077667 | MI | |
| Surgery Physician | 208600000X | 244628 | NY | |
| Surgery Physician | 208600000X | A104905 | CA | Primary |
Addresses
Primary practice location
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Mailing address
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 932-6330
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Michigan State University College of Human Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 La Casa Via
Suite 135
Walnut Creek, CA 94598-3023
Phone (925) 471-4291
1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone (925) 939-3000
240 La Casa Via
Suite 200
Walnut Creek, CA 94598-4866
Phone (925) 945-6644
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4512
6600 Lone Tree Way
Brentwood, CA 94513-5256
Phone (925) 932-6330
Hospital & facility affiliations
- Gimag Home Health Care
- John Muir Medical Center - Concord Campus
- John Muir Medical Center - Walnut Creek Campus
- Contra Costa Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.58 of 100
- Quality
- 81.06
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 12 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 259 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301077667 | MI | MD | Surgery Physician |
| 244628 | NY | MD | Surgery Physician |
Practice roles (13 of 14)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Auc PC | Current | Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| Medamerica Physician Solutions PC | Current | Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| Cep America - Auc PC | Surgery | Current | Accepting new patients |
| Cep America - Auc PC | Current | Accepting new patients | |
| John Muir Health | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients | |
| Sutter Delta Medical Center | Past | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients | |
| California Emergency Physician Medical Group | Past | Accepting new patients | |
| Brockton Podiatry Group a Prof Corp | Past | Accepting new patients |
Locations
1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225
6600 Lone Tree Way
Brentwood, CA 94513
Phone (925) 471-4223
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
384 Pearson Dr
Porterville, CA 93257
Phone (559) 781-5179
16 E Fern Ave
Ste B
Redlands, CA 92373
Phone (909) 435-4852
1080 Delbon Ave
Turlock, CA 95382
Phone (209) 634-8559
2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
240 La Casa Via
Ste 200
Walnut Creek, CA 94598
Phone (925) 280-0800
365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424
112 La Casa Via
Ste 135
Walnut Creek, CA 94598
Phone (925) 378-4040
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jason.moy.1@20515.direct.athenahealth.com
- jmoy18079@ehr.johnmuirhealth.com
Organizations & group practices 13
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.
-
- Obstetrics & Gynecology Physician
- Walnut Creek, CA
- NPI 1174253405
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1568861524
-
- Clinic/Center
- Walnut Creek, CA
- NPI 1487237111
-
- Orthopaedic Surgery Physician
- San Ramon, CA
- NPI 1467329904
-
- General Practice Physician
- Newport News, VA
- NPI 1104657329
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
-
- Pain Medicine Physician
- Visalia, CA
- NPI 1326409343
-
- Foot & Ankle Surgery Podiatrist
- Redlands, CA
- NPI 1275867228
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1962791293
-
- Rehabilitation Hospital Unit
- Walnut Creek, CA
- NPI 1447269303
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Martinez, CA
- NPI 1386719086
-
- Home Health Agency
- Livermore, CA
- NPI 1538545835
-
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1447468236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2637 SHADELANDS DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982512",
"telephone_number": "925-932-6330",
"fax_number": "925-932-0139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2637 SHADELANDS DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982512",
"telephone_number": "925-932-6330",
"fax_number": "925-932-0139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOY",
"first_name": "JASON",
"middle_name": "FREDERICK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301077667",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "244628",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A104905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.