Charles B Mosher Jr., MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G20790 Issued in CA

Practice address

5300 Hwy 49 N
Mariposa, CA 95338-0155

Phone

(209) 966-3672

Fax

(209) 966-5548

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Robert J. Rose, MD

  • Family Medicine Physician
  • Mariposa, CA
  • NPI 1043271521
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1801950126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953380155",
            "telephone_number": "209-966-3672",
            "fax_number": "209-966-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 HWY 49 N",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953380155",
            "telephone_number": "209-966-3672",
            "fax_number": "209-966-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHER",
        "first_name": "CHARLES",
        "middle_name": "B",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G20790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G207900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Alan Moon
• Jennifer E Moore, LCSW
• Paula A Moore
• Sunday Lynn Moore
• Hope Ellen Morton
• Mother Lode Drug Company
• Mountain Mental Health
• Linda Diane Murdock
• Anne-Marie Norton
• Ashley Olejniczak, AMFT, APCC

• General Practice Physician in Mariposa, CA
• Providers in Mariposa, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.