Moynihan Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOYNIHAN FAMILY PRACTICE

Doing business as

Moynihan Family Practice

Practice address

6620 Coyle Ave Ste 416
Carmichael, CA 95608-6338

Phone

(530) 400-4880

NPI assigned

Nov 22, 2019

Last updated

Nov 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin M Moynihan, MDNPI 1982709028

Title

Owner/President/Physician

Phone

(530) 400-4880

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Moynihan Family Practice Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin M Moynihan, MD

  • Family Medicine Physician
  • Lodi, CA
  • NPI 1982709028
  NPD Authorized official

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1689210825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956170632",
            "telephone_number": "530-400-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 COYLE AVE STE 416",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086338",
            "telephone_number": "530-400-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOYNIHAN FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "MOYNIHAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "530-400-4880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G781610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moynihan Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric D. Morse, M.D.
• Bobbette Morvai, R.D.
• Christopher K Mosley, M.D.
• Karen Jean Motley, CCC-SLP
• Anne Moyher
• MRM Fast Transport LLC
• Ms Carmichael SH, LLC (Sunrise Assisted Living Of Carmichael)
• Mslll, Limited Liability Company
• Emily Msryan
• Dwight Hisayuki Mukuno, M.D.

• Family Medicine Physician in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.