Active NPI
Tom Y Moy, MD
- Cardiovascular Disease Physician
- Pomona, CA
National Provider Identifier
1821064007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A35574
- Practice address
- 1866 N Orange Grove Ave
#202
Pomona, CA 91767-3031 - Phone
- (909) 623-8796
- Fax
- (909) 623-3076
- NPI assigned
- Feb 27, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A35574 | CA | Primary |
Addresses
Primary practice location
1866 N Orange Grove Ave
#202
Pomona, CA 91767-3031
Mailing address
840 Towne Center Dr
Pomona, CA 91767-5900
Phone (909) 398-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A355740 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A35574 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Medical Group | Cardiovascular Disease | Current | Accepting new patients |
Locations
1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796
840 Towne Center Dr
Pomona, CA 91767
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Pomona, CA
- NPI 1386724433
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305072000000",
"number": "1821064007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 TOWNE CENTER DR",
"city": "POMONA",
"state": "CA",
"postal_code": "917675900",
"telephone_number": "909-398-1500",
"fax_number": "909-398-1573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1866 N ORANGE GROVE AVE",
"address_2": "#202",
"city": "POMONA",
"state": "CA",
"postal_code": "917673031",
"telephone_number": "909-623-8796",
"fax_number": "909-623-3076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOY",
"first_name": "TOM",
"middle_name": "Y",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2011-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A35574",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A355740",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.