Organization Active NPI

Robert a Moss MD Facp Inc

  • Hematology & Oncology Physician
  • Fountain Valley, CA
National Provider Identifier
1508902875
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
ROBERT A MOSS MD FACP INC
Practice address
11180 Warner Ave Ste 467
Fountain Valley, CA 92708-7505
Phone
(714) 641-1128
Fax
(714) 540-7610
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Authorized official

Name
Dr. Robert Allan Moss, M.D.
Title
President
Phone
(714) 641-1128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

11180 Warner Ave Ste 467
Fountain Valley, CA 92708-7505

Mailing address

11180 Warner Ave Ste 467
Fountain Valley, CA 92708-7505
Phone (714) 641-1128

National Provider Directory

National Provider Directory

Locations

11180 Warner Ave
Ste 467
Fountain Vly, CA 92708
Phone (714) 432-9200

11100 Warner Ave
Ste 200
Fountain Vly, CA 92708
Phone (714) 455-1647

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1508902875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE STE 467",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087505",
            "telephone_number": "714-641-1128",
            "fax_number": "714-540-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE STE 467",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087505",
            "telephone_number": "714-641-1128",
            "fax_number": "714-540-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A MOSS MD FACP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-641-1128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.