Active NPI
Shoua Moua, NP
- Nurse Practitioner
- Beaumont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP95023963
- Practice address
- 839 Highland Springs Ave
Beaumont, CA 92223-5767 - Phone
- (909) 793-3311
- NPI assigned
- May 3, 2023
- Last updated
- Jan 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP95023963 | CA | Primary |
Addresses
Primary practice location
839 Highland Springs Ave
Beaumont, CA 92223-5767
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Other practice location 1
1100 N Palm Canyon Dr Ste 206
Palm Springs, CA 92262-4426
Phone (760) 883-1600
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1100 N Palm Canyon Dr
Suite 206
Palm Springs, CA 92262-4426
Phone (760) 883-1600
5957 W Ramsey St
Banning, CA 92220-3058
Phone (951) 845-0313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95023963 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cassidy Medical Group Inc. | Single Specialty | Current | Accepting new patients |
| Beaver Medical Group P C | Single Specialty | Current | Accepting new patients |
| Centers for Family Medicine GP | Single Specialty | Current | Accepting new patients |
| Beaver Medical Group P C | Single Specialty | Current | Accepting new patients |
| Desert Heart Rhythm Consultants Inc | Single Specialty | Current | Accepting new patients |
| Diagnostic Imaging Services | Single Specialty | Past | Accepting new patients |
Locations
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
1100 N Palm Canyon Dr
Ste 206
Palm Springs, CA 92262
Phone (760) 778-5220
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
2 W Fern Ave
#1112
Redlands, CA 92373
145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487
145 Thunder Dr
#1182
Vista, CA 92083
Phone (760) 941-9002
Interoperability endpoints
- smoua26175@epiclp.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Optum
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
Single Specialty
-
- Cardiovascular Disease Physician
- Palm Springs, CA
- NPI 1750613329
Single Specialty
-
dba Optumcare Medical Group
- Family Medicine Physician
- Los Alamitos, CA
- NPI 1467598243
Single Specialty
-
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Metairie, LA
- NPI 1699793166
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767225600000",
"number": "1750070900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 HIGHLAND SPRINGS AVE",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922235767",
"telephone_number": "909-793-3311"
}
],
"practiceLocations": [
{
"address_1": "1100 N Palm Canyon Dr Ste 206",
"address_purpose": "LOCATION",
"city": "Palm Springs",
"state": "CA",
"postal_code": "922624426",
"country_code": "US",
"telephone_number": "760-883-1600",
"fax_number": "760-520-6644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOUA",
"first_name": "SHOUA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-03",
"last_updated": "2026-01-01",
"certification_date": "2026-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP95023963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.