Marie Jose Moubarak

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A178125 Issued in CA

Practice address

2675 Pleasant Hill Rd
Pleasant Hill, CA 94523-2033

Phone

(925) 692-5570

NPI assigned

Jul 31, 2014

Last updated

Oct 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmoubarak165087@ehr.johnmuirhealth.com

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.

• John Muir Physician Network

  • General Practice Physician
  • Walnut Creek, CA
  • NPI 1841407665
  Medicare reassignment NPD
• Lexington County Health Services District, Inc.

  dba Lexington Medical Center Lexington

  • Radiology Clinic/Center
  • West Columbia, SC
  • NPI 1194753053
  NPD (past)
• Lexington County Health Services District, Inc.

  dba Lexington Medical Center Lexington

  • Urgent Care Clinic/Center
  • Lexington, SC
  • NPI 1720003270
  NPD (past)

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1497163547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD # 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-952-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 PLEASANT HILL RD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232033",
            "telephone_number": "925-692-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E Adams St",
            "address_2": "UH-1816",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102306",
            "country_code": "US",
            "telephone_number": "315-464-5136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 N Brown St",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "29169",
            "country_code": "US",
            "telephone_number": "803-995-8936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUBARAK",
        "first_name": "MARIE JOSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A178125",
            "primary": true
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "SC",
            "license": "83053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Morales, LCSW,MSW, PPSC
• Maria Anna Rizza Roxas Moran
• John Kimberly Morgan, M.D.
• Michael John Morgan, L.AC
• Tim L. Morse, REGISTERED NURSE
• Mt. Diablo Unified School District (MT Diablo USD Wraparound and Counseling Center)
• Mt. Diablo Unified School District (PHMS Cep)
• Muir Hills Dental Partnership
• Geraldine A Mulhall, DC
• Elinor Schaumann Mumm, PH.D.

• Pediatrics Physician in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.