Active NPI
Rex Edward Moulton-Barrett, M.D.
- Specialist
- Alameda, CA
National Provider Identifier
1770648057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A45787
- Practice address
- 2070 Clinton Ave FL 4
Alameda, CA 94501-4399 - Phone
- (510) 864-1800
- Fax
- (510) 864-1180
- NPI assigned
- Dec 27, 2006
- Last updated
- Mar 1, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | A45787 | CA | Primary |
Addresses
Primary practice location
2070 Clinton Ave FL 4
Alameda, CA 94501-4399
Mailing address
2070 Clinton Ave FL 4
Alameda, CA 94501-4399
Phone (510) 864-1800
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091207000040 | CA | Practitioner - Plastic and Reconstructive Surgery | 1759420615 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A45787 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital & Research Center at Oakland | Past | Accepting new patients | |
| Alta Bates Summit Medical Center | Past | Accepting new patients | |
| California Pacific Medical Group, Inc. | Past | Accepting new patients | |
| Alameda Health System | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- rmoultonbarrett@directaddress.net
Organizations & group practices 5
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.
-
- Specialist
- Alameda, CA
- NPI 1386755932
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
dba Merritt Peralta Insititute
- Substance Use Disorder Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1043358542
-
dba Brown & Toland Medical Group
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
-
dba UCSF Benioff Children's Hospital Oakland
- General Acute Care Hospital
- Oakland, CA
- NPI 1003961251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1770648057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2070 CLINTON AVE FL 4",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014399",
"telephone_number": "510-864-1800",
"fax_number": "510-864-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2070 CLINTON AVE FL 4",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014399",
"telephone_number": "510-864-1800",
"fax_number": "510-864-1180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOULTON-BARRETT",
"first_name": "REX",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A45787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.