Moai

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MOAI

Practice address

2633 Cardinal CT
Carmichael, CA 95608-4740

Phone

(916) 844-5250

NPI assigned

Oct 2, 2023

Organization subpart

No

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

Authorized official

Name

Craig Fowler

Title

Owner

Phone

(916) 844-5250

Specialties & licenses 1

Addresses

Other names 1

• MOAI Doing business as

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1841070489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 CARDINAL CT",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084740",
            "telephone_number": "916-844-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 CARDINAL CT",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084740",
            "telephone_number": "916-844-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-844-5250"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOAI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl Mitchell, PA
• Paul Lamont Mitchell
• Tuolumne Lauren Mitchell
• Shelia Mittelstadt
• MM Unlimited Inc.
• Hatem Mohammed
• Muhammad Bilal Mohsin, MD
• Marjorie A. Mojica-Jara, DMD
• Lourdes Villanueva Moldre, RN, MSN, ACNP-BC
• Terry Lee Moler, PHARMD

• Clinic/Center in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.