Tim Moscicki, ATC,

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1901 Venice Blvd
Los Angeles, CA 90006-4401

Phone

(213) 381-5121

Fax

(213) 738-1647

NPI assigned

Aug 15, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1922407857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064401",
            "telephone_number": "213-381-5121",
            "fax_number": "213-738-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064401",
            "telephone_number": "213-381-5121",
            "fax_number": "213-738-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCICKI",
        "first_name": "TIM",
        "credential": "ATC,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anahid Mosala
• Mahshid Melody Mosallaei-Benjamin, M.D.
• Daniel Mosallaei
• Jasmine Roja Mosavi, MD
• Elizabeth Moschiano
• Elliott Moscot, OD
• Melissa Diane Moseberry, MD
• Sheila D Moseley-Rhymer
• Colin Frederick Moseley, M.D.
• Jessica Nichole Moseley, MD

• Athletic Trainer in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.