Active NPI
Bruce D Moorstein, MD
- Surgery Physician
- Oakland, CA
National Provider Identifier
1457359515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A29377
- Practice address
- 350 30TH St Ste 430
Oakland, CA 94609-3426 - Phone
- (510) 835-2070
- Fax
- (510) 835-2433
- NPI assigned
- Jul 12, 2005
- Reactivated
- Apr 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A29377 | CA | Primary |
Addresses
Primary practice location
350 30TH St Ste 430
Oakland, CA 94609-3426
Mailing address
350 30TH St Ste 430
Oakland, CA 94609-3426
Phone (510) 835-2070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A293770 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A29377 | CA | MD | Surgery Physician |
Interoperability endpoints
- bmoorstein39858@hisp.ehr.sutterhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1457359515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 30TH ST STE 430",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093426",
"telephone_number": "510-835-2070",
"fax_number": "510-835-2433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 30TH ST STE 430",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093426",
"telephone_number": "510-835-2070",
"fax_number": "510-835-2433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORSTEIN",
"first_name": "BRUCE",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2016-05-23",
"deactivation_date": "2006-03-25",
"reactivation_date": "2006-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A29377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A293770",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.