Individual provider Active NPI

Moina Tahnee Snyder, D.O

  • Hospitalist Physician
  • Corvallis, OR
National Provider Identifier
1760861801
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DO203492 Issued in OR
Practice address
3600 NW Samaritan Dr
Corvallis, OR 97330-5472
Phone
(541) 768-5111
NPI assigned
May 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 2015947 CA
Pediatrics Physician 208000000X 20A15947 CA
Hospitalist Physician 208M00000X DO203492 OR Primary

Addresses

Primary practice location

3600 NW Samaritan Dr
Corvallis, OR 97330-5472

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

3901 Lone Tree Way
Antioch, CA 94509-6200
Phone (925) 756-1192

Other practice location 2

2516 Stockton Blvd
Sacramento, CA 95817-2208
Phone (916) 734-5387

Other practice location 3

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (916) 734-5387

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msnyder325875@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171205002485 CA Practitioner - HospitalistPractitioner - Pediatric Medicine 6406113174 Reassigns benefits to 3 organizations
I20210506002982 OR Practitioner - HospitalistPractitioner - Pediatric Medicine 6406113174
I20220613002318 WA Practitioner - Pediatric MedicinePractitioner - Hospitalist 6406113174 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A15947CAMDPediatrics Physician
2015947CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Ca Pediatrics CurrentSince Aug 1, 2019 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 14, 2020 Accepting new patients
Valley Children's Medical Group Pediatrics CurrentSince Nov 6, 2017 Accepting new patients
Seattle Children's Hospital Current Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 1, 2019 Accepting new patients
Seattle Childrens Hospital CurrentSince May 6, 2022 Accepting new patients
Seattle Children's Hospital CurrentSince May 6, 2022 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 14, 2020 Accepting new patients
Highline Medical Center Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Seattle Children's Hospital Past Accepting new patients

Locations (25 of 31)

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

9300 Valley Childrens Pl
#5
Madera, CA 93636
Phone (559) 353-5700

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104

2521 Stockton Blvd
Ste 2200
Sacramento, CA 95817
Phone (916) 734-1180

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

1551 Bishop St
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 548-8585

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

Interoperability endpoints

  • Direct secure messaging: msnyder464109@hisp.ehr.sutterhealth.org
  • Direct secure messaging: msnyder189615@direct.seattlechildrens.org
  • Direct secure messaging: msnyder479469@direct.peacehealth.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1760861801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NW SAMARITAN DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973305472",
            "telephone_number": "541-768-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Lone Tree Way",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945096200",
            "country_code": "US",
            "telephone_number": "925-756-1192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2516 Stockton Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958172208",
            "country_code": "US",
            "telephone_number": "916-734-5387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 S Fairmont Ave",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "CA",
            "postal_code": "952405118",
            "country_code": "US",
            "telephone_number": "916-734-5387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "MOINA",
        "middle_name": "TAHNEE",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "2015947",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A15947",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "DO203492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msnyder325875@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3600 NW Samaritan Dr",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973305472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.