Individual provider Active NPI

Patricia Jean Mooney, NURSE PRACTITIONER

  • Nurse Practitioner
  • San Marcos, CA
National Provider Identifier
1700470200
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95015705 Issued in CA
Practice address
838 Nordahl Rd Ste 300
San Marcos, CA 92069-3599
Phone
(800) 456-5860
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95015705 CA Primary

Addresses

Primary practice location

838 Nordahl Rd Ste 300
San Marcos, CA 92069-3599

Mailing address

3727 Balboa Ter Unit B
San Diego, CA 92117-5413
Phone (703) 927-9963

Other practice location 1

28078 Baxter Rd Ste 140
Murrieta, CA 92563-1403
Phone (760) 733-9191

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210430000985 CA Practitioner - Nurse Practitioner 5294142964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

838 Nordahl Rd
Suite 300
San Marcos, CA 92069-3599
Phone (760) 747-8935

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95015705CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California Cancer Associates for Research and Excellence Inc CurrentSince Mar 15, 2020 Accepting new patients
California Cancer Associates for Research and Excellence Inc CurrentSince Mar 15, 2020 Accepting new patients

Locations

326 Santa Fe Dr
Ste 105
Encinitas, CA 92024
Phone (760) 452-3340

7130 N Millbrook Ave
Fresno, CA 93720
Phone (559) 326-1222

9850 Genesee Ave
Ste 560
La Jolla, CA 92037
Phone (858) 452-0306

28078 Baxter Rd
Ste 140
Murrieta, CA 92563
Phone (760) 733-9191

25405 Hancock Ave
Ste 206
Murrieta, CA 92562
Phone (760) 733-9191

4500 Brockton Ave
Ste 319
Riverside, CA 92501
Phone (951) 319-7326

16918 Dove Canyon Rd
Ste 103
San Diego, CA 92127
Phone (858) 649-5100

838 Nordahl Rd
Ste 300
San Marcos, CA 92069
Phone (800) 456-5860

838 Nordahl Rd
Ste 320
San Marcos, CA 92069

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1700470200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 BALBOA TER UNIT B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175413",
            "telephone_number": "703-927-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 NORDAHL RD STE 300",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693599",
            "telephone_number": "800-456-5860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28078 Baxter Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925631403",
            "country_code": "US",
            "telephone_number": "760-733-9191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "PATRICIA",
        "middle_name": "JEAN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95015705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.