Organization Active NPI

Robert E Moebius MD Inc

  • Psychiatry Physician
  • Camarillo, CA
National Provider Identifier
1528160538
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C28779 Issued in CA
Legal business name
ROBERT E MOEBIUS MD INC
Practice address
905 Calle Acopada
Camarillo, CA 93010-8423
Phone
(805) 482-0496
Fax
(805) 482-8294
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Edward Moebius, MD PHD
Title
President
Phone
(805) 482-0496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X C28779 CA Primary

Addresses

Primary practice location

905 Calle Acopada
Camarillo, CA 93010-8423

Mailing address

905 Calle Acopada
Camarillo, CA 93010-8423
Phone (805) 482-0496

Other identifiers 1

IdentifierTypeStateIssuer
8338417MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528160538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 CALLE ACOPADA",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930108423",
            "telephone_number": "805-482-0496",
            "fax_number": "805-482-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 CALLE ACOPADA",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930108423",
            "telephone_number": "805-482-0496",
            "fax_number": "805-482-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E MOEBIUS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOEBIUS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-482-0496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C28779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8338417",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.