Individual provider Active NPI

Sunita Moola, MD

  • Obstetrics & Gynecology Physician
  • Fountain Valley, CA
National Provider Identifier
1770770695
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A106895 Issued in CA
Practice address
11100 Warner Ave
Suite 150B
Fountain Valley, CA 92708-7506
Phone
(512) 639-7210
NPI assigned
Sep 25, 2007
Last updated
Feb 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD2007-0455 NM
Obstetrics & Gynecology Physician 207V00000X N2198 TX
Obstetrics & Gynecology Physician 207V00000X A106895 CA Primary

Addresses

Primary practice location

11100 Warner Ave
Suite 150B
Fountain Valley, CA 92708-7506

Mailing address

11100 Warner Ave
Suite 150B
Fountain Valley, CA 92708-7506
Phone (512) 639-7210

Other identifiers 2

IdentifierTypeStateIssuer
15350738MedicaidNM
220421601MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140602000707 CA Practitioner - Obstetrics/Gynecology 8527148626 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A106895CAMDObstetrics & Gynecology Physician
MD2007-0455NMMDObstetrics & Gynecology Physician
N2198TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Families Together of Orange County CurrentSince Dec 1, 2016 Accepting new patients
Cottage Medical Foundation CurrentSince Dec 8, 2025 Accepting new patients
First Choice Physician Partners CurrentSince Mar 4, 2026 Accepting new patients
Families Together of Orange County CurrentSince Dec 1, 2016 Accepting new patients
First Choice Physician Partners CurrentSince Mar 4, 2026 Accepting new patients
Cottage Clinical Associates PastSince Feb 1, 2023 Accepting new patients

Locations

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

2415 De la Vina St
Santa Barbara, CA 93105
Phone (805) 569-8922

351 S Patterson Ave
Santa Barbara, CA 93111
Phone (805) 681-6406

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

5333 Hollister Ave
Ste 250
Santa Barbara, CA 93111
Phone (805) 879-4240

2050 Viborg Rd
Solvang, CA 93463
Phone (805) 569-7294

661 W 1st St
Ste G
Tustin, CA 92780
Phone (714) 665-9890

4360 E Main St
Ste B2A
Ventura, CA 93003
Phone (805) 879-4240

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: smoola254126@direct.llu.edu

Organizations & group practices 8

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1770770695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE",
            "address_2": "SUITE 150B",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087506",
            "telephone_number": "512-639-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE",
            "address_2": "SUITE 150B",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087506",
            "telephone_number": "512-639-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOLA",
        "first_name": "SUNITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "MD2007-0455",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N2198",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A106895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15350738",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220421601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.