Ellen Grace Moffatt, M.D.

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

License

A66146 Issued in CA

Practice address

850 Bryant St
Hall of Justice
San Francisco, CA 94103-4603

Phone

(415) 553-1796

Fax

(415) 553-1640

NPI assigned

Feb 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1298678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298678400000",
    "number": "1740587708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BRYANT ST",
            "address_2": "HALL OF JUSTICE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034603",
            "telephone_number": "415-553-1796",
            "fax_number": "415-553-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BRYANT ST",
            "address_2": "HALL OF JUSTICE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034603",
            "telephone_number": "415-553-1796",
            "fax_number": "415-553-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFATT",
        "first_name": "ELLEN",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-26",
        "last_updated": "2011-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "CA",
            "license": "A66146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avani Mody, MSW, PPSC
• Juan Trinidad Moedano-Maldonado
• Brenna Moeljadi
• Sonja Clar Melita Moelleken, M.D.
• Aimee-Brooke Moen
• Bridgid Catherine Moffett, M.A.
• Kimberly Moffett
• Eileen Moffitt, CPNP
• McKenna Mogan, MSW
• Rami S Mogannam

• Forensic Pathology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Forensic Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2011; 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.