Individual provider Active NPI

Moses Shirinian, PH.D

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1477902864
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY23194 Issued in CA
Practice address
4929 Wilshire Blvd
Suite 510
Los Angeles, CA 90010-3808
Phone
(562) 904-3999
NPI assigned
Jun 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY23194 CA Primary

Addresses

Primary practice location

4929 Wilshire Blvd
Suite 510
Los Angeles, CA 90010-3808

Mailing address

4929 Wilshire Blvd
Suite 510
Los Angeles, CA 90010-3808
Phone (562) 904-3999

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160621001499 CA Practitioner - Clinical Psychologist 9436288578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Coast Psychology Group IncGroup PAC ID 9335410729, 25 clinicians

Practice addresses (Care Compare)

4900 California Ave
Bakersfield, CA 93309-7024
Phone (805) 242-2429

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY23194CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychology Group, Inc. Clinical CurrentSince Apr 16, 2024 Accepting new patients
Cardinal Care Hospice Inc CurrentSince Jun 2, 2021 Accepting new patients
Orbit Psychological Services PC Clinical CurrentSince Jan 16, 2025 Accepting new patients
Orbit Hospice Care, Inc. Current Accepting new patients
Spiritual Touch Hospice, Inc. PastSince May 14, 2003 Accepting new patients

Locations

4900 California Ave
Fl 2
Bakersfield, CA 93309
Phone (510) 722-5630

1611 Height St
Bakersfield, CA 93305
Phone (661) 748-1300

31194 La Baya Dr
Ste 100
Westlake Village, CA 91362
Phone (805) 242-2429

1014 S Westlake Blvd
Ste 14243
Westlake Vlg, CA 91361

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cardinal Care Hospice IncLos Angeles, CA, CCN B21772 Hospice 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Sep 30, 2014
Sep 30, 2014
Sep 30, 2014
Sep 30, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1477902864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 WILSHIRE BLVD",
            "address_2": "SUITE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103808",
            "telephone_number": "562-904-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 WILSHIRE BLVD",
            "address_2": "SUITE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103808",
            "telephone_number": "562-904-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRINIAN",
        "first_name": "MOSES",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.