Individual provider Active NPI

Moataz K Giurgius, MD

  • Psychiatry Physician
  • Yorba Linda, CA
National Provider Identifier
1548217573
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A53359 Issued in CA
Practice address
20409 Yorba Linda Blvd Suite K2-265
Yorba Linda, CA 92886-3042
Phone
(562) 947-8832
Fax
(562) 947-8839
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A53359 CA Primary

Addresses

Primary practice location

20409 Yorba Linda Blvd Suite K2-265
Yorba Linda, CA 92886-3042

Mailing address

20409 Yorba Linda Blvd Ste K2-265
Yorba Linda, CA 92886-3042
Phone (562) 947-8832

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
I20110201000388 CA Practitioner - Psychiatry 4880683424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moataz Giurgius M D IncGroup PAC ID 6709875339, 2 clinicians

Practice addresses (Care Compare)

26970 Ironstone Dr
Yorba Linda, CA 92887-4227
Phone (562) 947-8832

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53359CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Hospitals CurrentSince Nov 7, 2010 Accepting new patients
Moataz Giurgius M D Inc Psychiatry CurrentSince Nov 1, 1998 Accepting new patients
Department of State Hospitals CurrentSince Nov 7, 2010 Accepting new patients
Department of State Hospitals Current Accepting new patients

Locations

12675 La Mirada Blvd
Ste 419
La Mirada, CA 90638
Phone (562) 906-8832

15651 Imperial Hwy
Ste 203
Lamirada, CA 90638
Phone (562) 947-8832

11401 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 863-7011

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

20409 Yorba Linda Blvd
Yorba Linda, CA 92886
Phone (562) 947-8832

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1548217573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20409 YORBA LINDA BLVD STE K2-265",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863042",
            "telephone_number": "562-947-8832",
            "fax_number": "562-947-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20409 YORBA LINDA BLVD SUITE K2-265",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863042",
            "telephone_number": "562-947-8832",
            "fax_number": "562-947-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIURGIUS",
        "first_name": "MOATAZ",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A53359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.