Individual provider Active NPI

Andrew Moyce, M.D.

  • Otolaryngology Physician
  • Oakland, CA
National Provider Identifier
1710949896
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G33785 Issued in CA
Practice address
2961 Summit St
Suite 1
Oakland, CA 94609-3482
Phone
(510) 465-0941
Fax
(510) 465-0941
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X G33785 CA Primary

Addresses

Primary practice location

2961 Summit St
Suite 1
Oakland, CA 94609-3482

Mailing address

2961 Summit St
Suite 1
Oakland, CA 94609-3482
Phone (510) 465-0941

Other identifiers 3

IdentifierTypeStateIssuer
00G337850MedicaidCA
000734OtherCAHILL PHYSICIANS
G33785OtherCAALTA BATES MEDICAL GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1710949896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 SUMMIT ST",
            "address_2": "SUITE 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093482",
            "telephone_number": "510-465-0941",
            "fax_number": "510-465-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 SUMMIT ST",
            "address_2": "SUITE 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093482",
            "telephone_number": "510-465-0941",
            "fax_number": "510-465-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYCE",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G33785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G337850",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HILL PHYSICIANS",
            "identifier": "000734",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTA BATES MEDICAL GROUP",
            "identifier": "G33785",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.