Individual provider Active NPI

Caroline Grace Moser, PA-C

  • Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1518646397
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA63064 Issued in CA
Practice address
8307 Brimhall Rd Ste 1707
Bakersfield, CA 93312-4343
Phone
(661) 463-8048
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA63064 CA Primary

Addresses

Primary practice location

8307 Brimhall Rd Ste 1707
Bakersfield, CA 93312-4343

Mailing address

903 Jasmine Parke Dr Apt 3
Bakersfield, CA 93312-2218
Phone (828) 817-3916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, NV3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231030002763 CA Practitioner - Physician Assistant 8729434543 Reassigns benefits to 2 organizations
I20250708003668 AZ Practitioner - Physician Assistant 8729434543 Reassigns benefits to 1 organization
I20250730004181 NV Practitioner - Physician Assistant 8729434543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
San Juan Bautista School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Laser Center PC a Professional Medical CorporationGroup PAC ID 9537181185, 81 clinicians

Practice addresses (Care Compare)

4805 Centennial Plaza Way
Bakersfield, CA 93312-1905
Phone (661) 322-2700

5600 California Ave
Bakersfield, CA 93309-1614
Phone (661) 322-2700

621 W Line St
Suite 105
Bishop, CA 93514-3320
Phone (760) 873-8781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
63064CAMDMarriage & Family Therapist
11114AZMDPharmacist
PA63064CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Memorial Hospital PastSince Jul 23, 2023 Accepting new patients
La Laser Center PC, a Professional Medical Corporation PastSince Feb 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cmoser@lalasercenter.emadirect.md

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1518646397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 JASMINE PARKE DR APT 3",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122218",
            "telephone_number": "828-817-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8307 BRIMHALL RD STE 1707",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933124343",
            "telephone_number": "661-463-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "CAROLINE",
        "middle_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.