Individual provider Active NPI

Yanina Linda Moya, P.A

  • Physician Assistant
  • Moreno Valley, CA
National Provider Identifier
1760707897
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 20872 Issued in CA
Practice address
24805 Alessandro Blvd
Suite 8
Moreno Valley, CA 92553-6101
Phone
(951) 601-6618
NPI assigned
Mar 31, 2010
Last updated
Aug 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 20872 CA Primary

Addresses

Primary practice location

24805 Alessandro Blvd
Suite 8
Moreno Valley, CA 92553-6101

Mailing address

24805 Alessandro Blvd
Suite 8
Moreno Valley, CA 92553-6101
Phone (951) 601-6618

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230720004198 CA Practitioner - Physician Assistant 3779943873 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 20872CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nogales Medical Clinic, Inc PastSince Jun 1, 2007 Accepting new patients
Clinica Medica Latina, Inc PastSince Dec 9, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: yanina.moya@695428936433668.direct.elationemr.com
  • Direct secure messaging: yaninamoya.213.5991@securemailmdscloud.mdsynergy.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1760707897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24805 ALESSANDRO BLVD",
            "address_2": "SUITE 8",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925536101",
            "telephone_number": "951-601-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24805 ALESSANDRO BLVD",
            "address_2": "SUITE 8",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925536101",
            "telephone_number": "951-601-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYA",
        "first_name": "YANINA",
        "middle_name": "LINDA",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 20872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.