Active NPI
Grant Moses, MFT INTERN
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1851301956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 45309
- Practice address
- 3951 Performance Dr Ste G
Sacramento, CA 95838-3264 - Phone
- (916) 921-0828
- Fax
- (916) 921-0333
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 45309 | CA | Primary |
Addresses
Primary practice location
3951 Performance Dr Ste G
Sacramento, CA 95838-3264
Mailing address
5277 Sonora Way
Carmichael, CA 95608
Phone (916) 779-2411
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45309 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226448000000",
"number": "1851301956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5277 SONORA WAY",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "95608",
"telephone_number": "916-779-2411",
"fax_number": "916-641-9599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3951 PERFORMANCE DR STE G",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958383264",
"telephone_number": "916-921-0828",
"fax_number": "916-921-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSES",
"first_name": "GRANT",
"name_prefix": "Mr.",
"credential": "MFT INTERN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2008-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "45309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.