NPIMap

Individual provider Active NPI

Ardis Ann Moe, MD

  • Infectious Disease Physician
  • Los Angeles, CA
National Provider Identifier
1851408876
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
G673070 Issued in CA
Practice address
1399 Roxbury Dr
100
Los Angeles, CA 90035-4709
Phone
(310) 557-1891
Fax
(310) 557-3450
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X G673070 CA Primary

Addresses

Primary practice location

1399 Roxbury Dr
100
Los Angeles, CA 90035-4709

Mailing address

1399 Roxbury Dr
100
Los Angeles, CA 90035-4709
Phone (310) 557-1891

Other identifiers 1

IdentifierTypeStateIssuer
00G673070MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051104000519 CA Practitioner - Family Practice 7618995911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1399 Roxbury Dr
Suite 100
Los Angeles, CA 90035-4709
Phone (310) 577-9896

14624 Sherman Way
FL 6
Van Nuys, CA 91405-2241
Phone (818) 988-6335

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G673070CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Valley Health Corporation CurrentSince Aug 24, 2013 Accepting new patients
The Regents of the University of California Infectious Disease CurrentSince Jan 2, 1996 Accepting new patients
The Regents of the University of California CurrentSince Jan 2, 1996 Accepting new patients
Northeast Valley Health Corporation CurrentSince Aug 24, 2013 Accepting new patients
The Regents of the University of California Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

File 55737
Los Angeles, CA 90074

1399 Roxbury Dr
Ste 100
Los Angeles, CA 90035
Phone (310) 557-2273

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656

1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

100 Moody Ct
Ste 110
Thousand Oaks, CA 91360
Phone (805) 418-3500

14624 Sherman Way
Fl 6
Van Nuys, CA 91405
Phone (818) 988-6335

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: amoe43448@direct.uclahealth.org
  • Direct secure messaging: ardis.moe.p1@direct.nevhc.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1851408876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 ROXBURY DR",
            "address_2": "100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900354709",
            "telephone_number": "310-557-1891",
            "fax_number": "310-557-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 ROXBURY DR",
            "address_2": "100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900354709",
            "telephone_number": "310-557-1891",
            "fax_number": "310-557-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOE",
        "first_name": "ARDIS",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G673070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G673070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.