Active NPI
Moses S Nasser Jr., D.O.
- Addiction Medicine (Family Medicine) Physician
- Glendora, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 20A9301
- Practice address
- 1146 E Route 66
Glendora, CA 91740-3773 - Phone
- (909) 206-4188
- NPI assigned
- Apr 20, 2007
- 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 |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 20A9301 | CA | Primary |
Addresses
Primary practice location
1146 E Route 66
Glendora, CA 91740-3773
Mailing address
1146 E Route 66
Glendora, CA 91740-3773
Phone (909) 206-4188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A9301 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KND Development 59, LLC | Current | Accepting new patients | |
| KND Development 59 LLC | Current | Accepting new patients | |
| Pinnacle Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Pinnacle Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| KND Development 59 LLC | Current | Accepting new patients | |
| Glendora Recovery Center | Past | Accepting new patients | |
| Moses S. Nasser Jr., DO, Inc. | Addiction Medicine | Past | Accepting new patients |
| LH Blue Sky Inc | Past | Accepting new patients |
Locations
10841 White Oak Ave
Rch Cucamonga, CA 91730
Phone (626) 914-1514
10431 Lemon Ave
Ste N
Rch Cucamonga, CA 91737
Phone (909) 466-6579
10841 White Oak Ave
Ste 103
Rch Cucamonga, CA 91730
Phone (909) 297-2128
1851 N Riverside Ave
Rialto, CA 92376
Phone (909) 421-2700
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Santa Ana, CA
- NPI 1740519081
-
- Addiction Medicine (Family Medicine) Physician
- Glendora, CA
- NPI 1992631212
-
- Hospitalist Physician
- Rancho Cucamonga, CA
- NPI 1487959581
-
- Family Medicine Physician
- Fontana, CA
- NPI 1043255763
-
dba Specialty Hospitals Broken Arrow
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Glendora, CA
- NPI 1750849071
-
dba Lake Hughes Recovery Center
- Substance Abuse Rehabilitation Facility
- Lake Hughes, CA
- NPI 1013605112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1902023682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1146 E ROUTE 66",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917403773",
"telephone_number": "909-206-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1146 E ROUTE 66",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917403773",
"telephone_number": "909-206-4188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASSER",
"first_name": "MOSES",
"middle_name": "S",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "CA",
"license": "20A9301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.