Jose Manuel Moctezuma

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

1236 Chapala St
Santa Barbara, CA 93101-3116

Phone

(805) 965-2376

Fax

(805) 963-6707

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1811066525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 CHAPALA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013116",
            "telephone_number": "805-965-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 CHAPALA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013116",
            "telephone_number": "805-965-2376",
            "fax_number": "805-963-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCTEZUMA",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1997",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• N. Nicole Moayeri, MD
• Neigena Mobaligh, M.D.
• Denise Allison Mock, PHD
• Michael Anthony Mocny, P. T.
• Monica Rae Mocny, P. T.
• Steven Allen Moel, M.D.
• Alan P Moelleken, M.D.
• James Moghtader, M.D.
• Samin Moham, RD
• Vikrant Moharir, M.D.

• Rehabilitation Practitioner in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.