Michael W. Moats, M.D., Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2889069 Issued in CA

Legal business name

MICHAEL W. MOATS, M.D., INC.

Practice address

525 Plaza Dr
Suite 200
Santa Maria, CA 93454-6953

Phone

(805) 922-3632

Fax

(805) 922-3522

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael W. Moats, M.D.

Title

President

Phone

(805) 922-3632

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1790897254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 PLAZA DR",
            "address_2": "SUITE 200",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546953",
            "telephone_number": "805-922-3632",
            "fax_number": "805-922-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 PLAZA DR",
            "address_2": "SUITE 200",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546953",
            "telephone_number": "805-922-3632",
            "fax_number": "805-922-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W. MOATS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "MOATS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-922-3632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "2889069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA REGISTRATION NUMBER- STATE OF CA",
            "identifier": "CLM334547",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "05D1064504",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Joseph Milazzo, MFT-I
• Dante Miles, PA
• Sheryl Miles, PA

• Dermatology Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.