Organization Active NPI

John R Moeller, M.D., Inc.

  • Psychiatry Physician
  • Torrance, CA
National Provider Identifier
1710219894
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C32224 Issued in CA
Legal business name
JOHN R MOELLER, M.D., INC.
Practice address
24050 Madison
#107
Torrance, CA 90505
Phone
(310) 375-2140
Fax
(310) 375-2160
NPI assigned
Feb 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Dr. John Roger Moeller, M.D.
Title
Psychiatrist
Phone
(310) 375-2140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X C32224 CA Primary

Addresses

Primary practice location

24050 Madison
#107
Torrance, CA 90505

Mailing address

24050 Madison
#107
Torrance, CA 90505
Phone (310) 375-2140

National Provider Directory

National Provider Directory

Locations

24050 Madison St
Ste 107
Torrance, CA 90505
Phone (310) 375-2140

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1710219894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24050 MADISON",
            "address_2": "#107",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-375-2140",
            "fax_number": "310-375-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24050 MADISON",
            "address_2": "#107",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-375-2140",
            "fax_number": "310-375-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R MOELLER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "MOELLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "310-375-2140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C32224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.