Moe Jerrar, RCFE

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

6039504740 Issued in CA

Practice address

525 N Carousel PL
Anaheim, CA 92806-3206

Phone

(714) 809-4444

Fax

(714) 333-4412

NPI assigned

Aug 14, 2017

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Ride Aid Inc.

  • Non-emergency Medical Transport (VAN)
  • Anaheim, CA
  • NPI 1306355540
  NPD Authorized official
• GPS Hospice Care Inc.

  • Community Based Hospice Care Agency
  • Anaheim, CA
  • NPI 1396341368
  NPD

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706918400000",
    "number": "1699291468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N CAROUSEL PL",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928063206",
            "telephone_number": "714-809-4444",
            "fax_number": "714-333-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N CAROUSEL PL",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928063206",
            "telephone_number": "714-809-4444",
            "fax_number": "714-333-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERRAR",
        "first_name": "MOE",
        "credential": "RCFE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-14",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "CA",
            "license": "6039504740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob R. Jensen, DPM
• Mark Raymond Jensen
• Grace H. Jeon, M.D.
• Susanna Jeong
• Diane Jerng, MD
• Jerry S. Garcia, M.D., Inc
• Esther Jesfen, MA
• Dania Jesri
• Janice I Jetton, NP
• Peggy Jeu

• Home Health Aide in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Home Health Aide in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2024; 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.