Charles J. Moran, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G48369 Issued in CA

Practice address

1763 Ramada Drive
Paso Robles, CA 93446

Phone

(805) 226-0902

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Agile Occupational Medicine, PC

  • Occupational Medicine Clinic/Center
  • Templeton, CA
  • NPI 1811870702
  NPD (past)
• Central Coast Emergency Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Templeton, CA
  • NPI 1972535557
  NPD (past)
• Sigmund Physician Service, Inc.

  • Emergency Medicine Physician
  • Paso Robles, CA
  • NPI 1326013657
  NPD (past)
• Sigmund Physician Services, Inc.

  • Emergency Medicine Physician
  • King City, CA
  • NPI 1326112533
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1770635971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 RAMADA DRIVE",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "93446",
            "telephone_number": "805-226-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 RAMADA DRIVE",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "93446",
            "telephone_number": "805-226-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "CHARLES",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G48369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "7206086",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G483690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DOL",
            "identifier": "0245163",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miracle-Ear, Inc.
• Robert Dean Montgomery, DDS
• Douglas A. Moore, D.D.S.
• Halley M Moore, PHD
• Lesley Ann Moore, DMD
• Aidan Karina Munoz-Christian
• Pablo Enrique Munoz
• Janeen Murphy, LMFT
• Carolyn Jean Nathan, RD, CDE
• National Vision, Inc.

• Emergency Medicine Physician in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.