Danielle K Moul, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

A104213 Issued in CA

Practice address

303 Broadway St Ste 104 PMB 135
Laguna Beach, CA 92651

Phone

(410) 952-6996

NPI assigned

May 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, AZ2 enrollments

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 2

Specialty

Dermatology

Education

University of Maryland School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Skin and Cancer Center of Arizona PCGroup PAC ID 4284610734, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.35 of 100Reported as individual

Promoting interoperability

91

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: drmoul@csisouthca.emadirect.md
• Direct secure messaging: danielle.moul@schweigerderm.emadirect.md

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.

• Csi Medical Group

  • MOHS-Micrographic Surgery Physician
  • San Pedro, CA
  • NPI 1871909804

  Dermatology

  Medicare reassignment Care Compare group NPD
• Skin and Cancer Center of Arizona PC

  • Dermatology Physician
  • Chandler, AZ
  • NPI 1184681132
  Medicare reassignment Care Compare group
• Vincent C Hung MD, Inc

  • Specialist
  • Pasadena, CA
  • NPI 1396911608
  Medicare reassignment NPD
• Island Dermatology, Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1508815556
  Medicare reassignment
• Advanced Skincare Medcenter Inc.

  • MOHS-Micrographic Surgery Physician
  • Newport Beach, CA
  • NPI 1689711244
  NPD
• David B. Friedman, MD, Inc

  • Procedural Dermatology Physician
  • Anaheim, CA
  • NPI 1164620795
  NPD
• Newport Plastic Surgery Inc

  • Plastic Surgery Physician
  • Newport Beach, CA
  • NPI 1700192754
  NPD (past)
• Scripps Health

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841233780
  NPD (past)
• Banner Desert Medical Center

  • Skilled Nursing Facility
  • Mesa, AZ
  • NPI 1780739631
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1700091113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BROADWAY",
            "address_2": "SUITE 104 PMB 135",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "92651",
            "telephone_number": "949-715-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BROADWAY ST STE 104 PMB 135",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "92651",
            "telephone_number": "410-952-6996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21321 E Ocotillo Rd Ste 124",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851425994",
            "country_code": "US",
            "telephone_number": "480-899-7546",
            "fax_number": "480-899-7599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26730 Crown Valley Parkway",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "92691",
            "country_code": "US",
            "telephone_number": "949-364-2440",
            "fax_number": "949-364-2778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 S Dobson Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245679",
            "country_code": "US",
            "telephone_number": "480-899-7546",
            "fax_number": "480-899-7599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11100 Warner Ave Ste 264",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927087512",
            "country_code": "US",
            "telephone_number": "714-549-1770",
            "fax_number": "714-549-5049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1127 Wilshire Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900173907",
            "country_code": "US",
            "telephone_number": "213-278-0021",
            "fax_number": "213-278-0973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Fairmount Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053154",
            "country_code": "US",
            "telephone_number": "626-585-9474",
            "fax_number": "626-585-9480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "289 W Huntington Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910073495",
            "country_code": "US",
            "telephone_number": "626-446-8809",
            "fax_number": "626-446-8268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUL",
        "first_name": "DANIELLE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "57.007895",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A104213",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A104213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Monkiewicz
• Tracy Moresilorentzen
• Christine Morgenstern
• Indigo Simone Morris
• Lewis M Moss, MD
• Arian S Mowlavi, M.D.
• Susan K. Munden, M.D.
• Shauna R. Murray
• N.E.M. Recovery Centers, LLC
• Heather Nakahara, SLP

• MOHS-Micrographic Surgery Physician in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• MOHS-Micrographic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.