Active NPI
Sunita Moola, MD
- Obstetrics & Gynecology Physician
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A106895
- 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, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15350738 | Medicaid | NM | |
| 220421601 | Medicaid | TX |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A106895 | CA | MD | Obstetrics & Gynecology Physician |
| MD2007-0455 | NM | MD | Obstetrics & Gynecology Physician |
| N2198 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Families Together of Orange County | Current | Accepting new patients | |
| Cottage Medical Foundation | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Families Together of Orange County | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Cottage Clinical Associates | Past | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Fountain Valley, CA
- NPI 1184069148
-
- Clinic/Center
- Tustin, CA
- NPI 1194122457
-
dba Greater Modesto Medical Surgical Associates
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
- Federally Qualified Health Center (FQHC)
- Tustin, CA
- NPI 1861253080
-
dba Desert Region Family Medicine
- Internal Medicine Physician
- La Quinta, CA
- NPI 1841621323
-
dba De La Pena Eye Clinic, A Medical Group
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
dba Cottage Children's Medical Group
- Multi-Specialty Clinic/Center
- Santa Barbara, CA
- NPI 1235790544
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.