Individual provider Active NPI

Ioana Moldovan, M.D.

  • Rheumatology Physician
  • San Bernardino, CA
National Provider Identifier
1740201557
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A86365 Issued in CA
Practice address
374 E Vanderbilt Way
San Bernardino, CA 92408-3593
Phone
(909) 280-5557
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A86365 CA Primary

Addresses

Primary practice location

374 E Vanderbilt Way
San Bernardino, CA 92408-3593

Mailing address

29297 Clear Spring LN
Highland, CA 92346-6201
Phone (909) 362-0964

Other identifiers 1

IdentifierTypeStateIssuer
00A863650MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831001402 CA Practitioner - RheumatologyPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2163497280 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sun City Medical Group IncGroup PAC ID 1951707678, 4 clinicians

Practice addresses (Care Compare)

374 E Vanderbilt Way
San Bernardino, CA 92408-3593
Phone (909) 280-5557

646 W Main St
El Centro, CA 92243-7914
Phone (442) 271-4337

Hospital & facility affiliations

  • Redlands Community Hospital Hospital, Redlands, CA, CCN 050272
  • El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045
  • Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327
  • Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A86365CAMDRheumatology Physician

Practice roles (11 of 12)

OrganizationSpecialtyStatusNew patients
Inland Arthritis Center Rheumatology CurrentSince Nov 1, 2021 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Nov 1, 2011 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Nov 1, 2011 Accepting new patients
Beaver Medical Group P C CurrentSince Apr 1, 2012 Accepting new patients
Beaver Medical Group P C Rheumatology CurrentSince Apr 1, 2012 Accepting new patients
Sun City Medical Group Inc. CurrentSince Oct 8, 2021 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Loma Linda University Physicians Medical Group Inc Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Inland Arthritis Center Past Accepting new patients
Redlands Community Hospital Past Accepting new patients

Locations

646 W Main St
El Centro, CA 92243
Phone (442) 246-5849

11370 Anderson St
Ste 3150
Loma Linda, CA 92354
Phone (909) 558-2191

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824

11370 Anderson St
Ste 3300
Loma Linda, CA 92354
Phone (909) 478-6191

11370 Anderson St
Ste 31503625
Loma Linda, CA 92354
Phone (909) 558-2191

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

2 W Fern Ave
#1112
Redlands, CA 92373

374 E Vanderbilt Way
Ste 2
Sn Bernrdno, CA 92408
Phone (909) 385-5177

374 E Vanderbilt Way
Sn Bernrdno, CA 92408
Phone (909) 280-5557

901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ioana.moldovan.1@23613.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1740201557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29297 CLEAR SPRING LN",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923466201",
            "telephone_number": "909-362-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 E VANDERBILT WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083593",
            "telephone_number": "909-280-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDOVAN",
        "first_name": "IOANA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A86365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A863650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.