Jamie Moises, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95020365 Issued in CA

Practice address

5601 De Soto Ave
Woodland Hills, CA 91367-6798

Phone

(818) 719-4640

NPI assigned

May 17, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Community Care Medical Center Inc.

  dba CCMC/Community Care Medical Center

  • Clinic/Center
  • North Hollywood, CA
  • NPI 1265093520
  Medicare reassignment
• Valley Medical Clinic Inc

  • General Practice Physician
  • North Hollywood, CA
  • NPI 1043691207
  NPD (past)

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1598402943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 DE SOTO AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676798",
            "telephone_number": "818-719-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 DE SOTO AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676798",
            "telephone_number": "818-719-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOISES",
        "first_name": "JAMIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Millen Moffat, D.D.S.
• Ariel Moghadam, OTR/L
• Ryan Moghadam
• Jessica Mohan, LCSW, MAT, PPSC, CWA
• Saman Mohseni, PH.D.
• Kamal Mojab, MD
• Sheila Mojtabai
• Erin Mokhtar, MFT
• Charlotte Jennifer Pangan Molar
• Molayem Dental Corporation (Mint Dentistry)

• Family Nurse Practitioner in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.