Molly Applegate Moffitt

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95406266 Issued in CA

Practice address

18501 Gale Ave
City of Industry, CA 91748-1329

Phone

(626) 626-4997

NPI assigned

Oct 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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 Counseling Connection, a Licensed Clinical Social Worker, PC

  • Clinical Social Worker
  • Whittier, CA
  • NPI 1588362180
  Medicare reassignment NPD
• Step Up on Second Street Inc.

  • Community/Behavioral Health Agency
  • San Bernardino, CA
  • NPI 1285186353
  NPD (past)

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1629675640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18501 GALE AVE",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481329",
            "telephone_number": "626-626-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18501 GALE AVE",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481329",
            "telephone_number": "626-626-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "MOLLY",
        "middle_name": "APPLEGATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT114901",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95406266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Angela Miller
• Channolin Angelina Min
• Sophia Mineros
• Ana Laura Miskulin
• Modern Medial Alternative
• Mohan Dialysis Center of Covina, Inc
• Sarita Monroy-Villa
• Megan Lee Montague, LMFT
• Ana Monterrosa
• Marifer Mora

• Registered Nurse in City of Industry, CA
• Providers in City of Industry, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.