Individual provider Active NPI

Deepak Mohan Moosad, D.C.

  • Chiropractor
  • Orange, CA
National Provider Identifier
1932410156
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31690 Issued in CA
Practice address
900 E Lincoln Ave
Orange, CA 92865-1905
Phone
(714) 637-6370
NPI assigned
Jun 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31690 CA Primary

Addresses

Primary practice location

900 E Lincoln Ave
Orange, CA 92865-1905

Mailing address

14538 Los Fuentes Rd
La Mirada, CA 90638-4352
Phone (714) 315-3033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130207000127 CA Practitioner - Chiropractic 5890947469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 E Lincoln Ave
Orange, CA 92865-1905
Phone (714) 637-6370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Wellness Acupuncture Inc Chiropractor CurrentSince Nov 19, 2012 Accepting new patients
Lotus Wellness Center LLC Chiropractor Past Accepting new patients

Locations

900 E Lincoln Ave
Orange, CA 92865
Phone (714) 637-6370

Organizations & group practices 2

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": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1932410156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14538 LOS FUENTES RD",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906384352",
            "telephone_number": "714-315-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E LINCOLN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651905",
            "telephone_number": "714-637-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSAD",
        "first_name": "DEEPAK",
        "middle_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.