Individual provider Active NPI

John Gilbert Moe, PHD, MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1528035540
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G46368 Issued in CA
Practice address
6801 Park Ter 330
Los Angeles, CA 90045-9212
Phone
(310) 295-2255
Fax
(310) 657-4950
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G46368 CA Primary

Addresses

Primary practice location

6801 Park Ter 330
Los Angeles, CA 90045-9212

Mailing address

6801 Park Ter 330
Los Angeles, CA 90045-9212
Phone (310) 295-2255

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100626000508 CA Practitioner - Internal Medicine 4789715244 Practice locations: Inglewood, CA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46368CAMDProsthodontist
G46368CAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: jmoe212312@direct.cshs.org

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1528035540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 PARK TER 330",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900459212",
            "telephone_number": "310-295-2255",
            "fax_number": "310-657-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 PARK TER 330",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900459212",
            "telephone_number": "310-295-2255",
            "fax_number": "310-657-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOE",
        "first_name": "JOHN",
        "middle_name": "GILBERT",
        "name_prefix": "Dr.",
        "credential": "PHD, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G46368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.