Christopher Robin Moessmer

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2045 Issued in CA

Practice address

3530 Breakwater CT
Hayward, CA 94545-3611

Phone

(510) 363-8992

Fax

(650) 525-1155

NPI assigned

Dec 29, 2009

Reactivated

May 12, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• United Plus LLC

  dba United Ambulance

  • Land Ambulance
  • Hayward, CA
  • NPI 1285914945
  Authorized official Same address or phone

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1760712590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 BREAKWATER CT",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945453611",
            "telephone_number": "510-671-0031",
            "fax_number": "510-200-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 BREAKWATER CT",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945453611",
            "telephone_number": "510-363-8992",
            "fax_number": "650-525-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOESSMER",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROBIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-29",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "deactivation_date": "2020-05-01",
        "reactivation_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "11 0001024B",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "2045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Talens Moakley
• Natasha F Mobeen
• Mobile Express Transportation (M.E.T),LLC
• Mobility Care Inc.
• Shakira Modeste
• Sayed Naveed Mohammadi-Domeneh
• Alina Mohammadian
• Norisha Ferin Mohammed
• Smita Krishna Mohan, M.D.
• Seana Coleen Mohr, CADC-I

• Land Ambulance in Hayward, CA
• Providers in Hayward, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.