Individual provider Active NPI

Sam Sohrab Moss, MD

  • Psychiatry Physician
  • Coral Gables, FL
National Provider Identifier
1922462662
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A176371 Issued in CA
Practice address
806 S Douglas Rd Ste 625
Coral Gables, FL 33134-3157
Phone
(305) 484-4543
NPI assigned
Apr 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME141192 FL
Psychiatry Physician 2084P0800X A176371 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

806 S Douglas Rd Ste 625
Coral Gables, FL 33134-3157

Mailing address

4175 W 20TH Ave
Hialeah, FL 33012-5874
Phone (305) 825-0300

Other practice location 1

903 E Devonshire Ave Ste E
Hemet, CA 92543-3097
Phone (951) 322-4532

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250612003181 CA Practitioner - Psychiatry 5698109361 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A176371CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Coast Psych Medical Associates PC CurrentSince Sep 23, 2024 Accepting new patients

Locations

903 E Devonshire Ave
Ste E
Hemet, CA 92543
Phone (951) 322-4532

903 E Devonshire Ave
Ste F
Hemet, CA 92543
Phone (951) 929-1611

33175 Temecula Pkwy
Ste A
Temecula, CA 92592

Interoperability endpoints

  • Direct secure messaging: sam.moss.1@18731.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1922462662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125874",
            "telephone_number": "305-825-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 S DOUGLAS RD STE 625",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343157",
            "telephone_number": "305-484-4543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 E Devonshire Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925433097",
            "country_code": "US",
            "telephone_number": "951-322-4532",
            "fax_number": "951-223-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "SAM",
        "middle_name": "SOHRAB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME141192",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A176371",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.