Active NPI
Steven Theodore Moulios, DO
- Family Medicine Physician
- Sacramento, CA
National Provider Identifier
1811045826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A6913
- Practice address
- 501 J St
Suite 310
Sacramento, CA 95814-2325 - Phone
- (916) 322-0124
- Fax
- (916) 324-5960
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A6913 | CA | Primary |
Addresses
Primary practice location
501 J St
Suite 310
Sacramento, CA 95814-2325
Mailing address
501 J St
Suite 310
Sacramento, CA 95814-2325
Phone (916) 322-0124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX69130 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A6913 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290988800000",
"number": "1811045826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 J ST",
"address_2": "SUITE 310",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958142325",
"telephone_number": "916-322-0124",
"fax_number": "916-324-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 J ST",
"address_2": "SUITE 310",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958142325",
"telephone_number": "916-322-0124",
"fax_number": "916-324-5960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOULIOS",
"first_name": "STEVEN",
"middle_name": "THEODORE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2010-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A6913",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX69130",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
- Mark Labeeb Moubarek, MD
- Sandy Ngo Moubarek, MD
- El-Hadi Mouderres, MD
- Karim Moukaddam, MS, RDN
- Aimee K Moulin, MD
- Ricki Moulton
- Katherine Nicole Moultrie, PT
- Mountain Valley Child and Family Services, Inc.
- Mountain Valley Child and Family Services, Inc.
- Mountain Valley Child and Family Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.