Active NPI
Sandy Moua
- Licensed Psychiatric Technician
- Yucca Valley, CA
National Provider Identifier
1467792283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 36344
- Practice address
- 58945 Business Center Dr
Suite D
Yucca Valley, CA 92284-7307 - Phone
- (760) 228-9657
- NPI assigned
- Feb 15, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 36344 | CA | Primary |
Addresses
Primary practice location
58945 Business Center Dr
Suite D
Yucca Valley, CA 92284-7307
Mailing address
37586 College Dr
Unit 101
Palm Desert, CA 92211-2926
Phone (951) 233-5985
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1467792283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37586 COLLEGE DR",
"address_2": "UNIT 101",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922112926",
"telephone_number": "951-233-5985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58945 BUSINESS CENTER DR",
"address_2": "SUITE D",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922847307",
"telephone_number": "760-228-9657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUA",
"first_name": "SANDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-15",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "36344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.