Active NPI
Jeffrey Moy, D.O.
- Diagnostic Radiology Physician
- San Diego, CA
National Provider Identifier
1821537101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 297056
- Practice address
- 34800 Bob Wilson Dr
San Diego, CA 92134-1098 - Phone
- (619) 532-9729
- NPI assigned
- Feb 19, 2017
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 297056 | NY | Primary |
Addresses
Primary practice location
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Mailing address
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone (619) 532-9729
Other practice location 1
162 1st St
Port Hueneme, CA 93043-4316
Phone (805) 982-6342
Other practice location 2
1475 W 49th Pl
Hialeah, FL 33012-3113
Phone (305) 558-2500
Other practice location 3
1 Wahoo Ave
Groton, CT 06349
Phone (860) 694-7520
Other practice location 4
1475 W 49th Pl
Hialeah, FL 33012-3113
Phone (305) 558-2500
Other practice location 5
7031 SW 62nd Ave
South Miami, FL 33143-4701
Phone (240) 460-4609
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 |
|---|---|---|---|
| 297056 | NY | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1821537101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921341098",
"telephone_number": "619-532-9729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921341098",
"telephone_number": "619-532-9729"
}
],
"practiceLocations": [
{
"address_1": "162 1st St",
"address_purpose": "LOCATION",
"city": "Port Hueneme",
"state": "CA",
"postal_code": "930434316",
"country_code": "US",
"telephone_number": "805-982-6342",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1475 W 49th Pl",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330123113",
"country_code": "US",
"telephone_number": "305-558-2500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Wahoo Ave",
"address_purpose": "LOCATION",
"city": "Groton",
"state": "CT",
"postal_code": "06349",
"country_code": "US",
"telephone_number": "860-694-7520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1475 W 49th Pl",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330123113",
"country_code": "US",
"telephone_number": "305-558-2500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7031 SW 62nd Ave",
"address_purpose": "LOCATION",
"city": "South Miami",
"state": "FL",
"postal_code": "331434701",
"country_code": "US",
"telephone_number": "240-460-4609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOY",
"first_name": "JEFFREY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-19",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "297056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.