Active NPI
Robert Moler, M.D.
- Pediatrics Physician
- Capitola, CA
National Provider Identifier
1811090889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G45149
- Practice address
- 1820 41St Ave
Ste D
Capitola, CA 95010-2516 - Phone
- (831) 476-3000
- NPI assigned
- Sep 6, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G45149 | CA | Primary |
Addresses
Primary practice location
1820 41St Ave
Ste D
Capitola, CA 95010-2516
Mailing address
1820 41St Ave
Ste D
Capitola, CA 95010-2516
Phone (831) 476-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G451490 | Other | CA | MEDI-CAL ID NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G45149 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1811090889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 41ST AVE",
"address_2": "STE D",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950102516",
"telephone_number": "831-476-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 41ST AVE",
"address_2": "STE D",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950102516",
"telephone_number": "831-476-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLER",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G45149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL ID NUMBER",
"identifier": "00G451490",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Capitola, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.