Individual provider Active NPI

Fred R Moss, M.D.

  • Psychiatry Physician
  • Chico, CA
National Provider Identifier
1982657235
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
89083 Issued in CA
Practice address
560 Cohasset Rd Ste 185
Chico, CA 95926-2460
Phone
(530) 879-3824
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036129270 IL
Psychiatry Physician 2084P0800X 35059484A OH
Psychiatry Physician 2084P0800X 4301097758 MI
Psychiatry Physician 2084P0800X 01059042A IN
Psychiatry Physician 2084P0800X 201202116 NC
Psychiatry Physician 2084P0800X 89083 CA Primary

Addresses

Primary practice location

560 Cohasset Rd Ste 185
Chico, CA 95926-2460

Mailing address

560 Cohasset Rd Ste 185
Chico, CA 95926-2460
Phone (916) 671-0007

Other practice location 1

121 Stanford Ct
Grass Valley, CA 95945-5657
Phone (916) 671-0007

Other identifiers 3

IdentifierTypeStateIssuer
200467160AMedicaidIN
6493173600MedicaidKY
0827672MedicaidOH

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
I20150911000478 CA Practitioner - Psychiatry 8022082684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Northwestern University Feinberg Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of ButteGroup PAC ID 3779489356, 29 clinicians

Practice addresses (Care Compare)

560 Cohasset Rd
Suite 140
Chico, CA 95926-2281
Phone (530) 879-3950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
89083CAMDMarriage & Family Therapist
036129270ILMDPsychiatry Physician
01059042AINMDPsychiatry Physician
201202116NCMDPsychiatry Physician
35059484AOHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Butte CurrentSince May 1, 2025 Accepting new patients
County of Butte CurrentSince May 1, 2025 Accepting new patients
County of Monterey Behavioral Health CurrentSince Nov 12, 2025 Accepting new patients
County of Butte Current Accepting new patients
State of Ohio Office of Budget and MGMT, State Accounting Past Accepting new patients
Sinnissippi Centers, Inc. Past Accepting new patients
State of Ohio Office of Budget and Management State Accounting Past Accepting new patients

Locations

560 Cohasset Rd
Ste 140
Chico, CA 95926
Phone (530) 552-4936

3217 Cohasset Rd
Cohasset, CA 95973
Phone (530) 552-4578

995 Spruce St
Gridley, CA 95948
Phone (530) 846-7305

82 Table Mountain Blvd
Oroville, CA 95965
Phone (530) 538-7705

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1982657235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 COHASSET RD STE 185",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262460",
            "telephone_number": "916-671-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 COHASSET RD STE 185",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262460",
            "telephone_number": "530-879-3824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Stanford Ct",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959455657",
            "country_code": "US",
            "telephone_number": "916-671-0007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "FRED",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036129270",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35059484A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301097758",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01059042A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "201202116",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "89083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200467160A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6493173600",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0827672",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.