DEIRDRE T MOXLEY


Address: 1950 Sunnycrest Dr, Suite 2300, Fullerton, CA 92835-3638
Phone: 7148704772

DEIRDRE T MOXLEY (NPI# 1215118641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215118641
Entity Type Individual
Full Name DEIRDRE T MOXLEY
Credential PA-C
Practice Address 1950 Sunnycrest Dr
Suite 2300
Fullerton
CA 92835-3638
Mailing Address 207 W Crystal View Ave
Orange
CA 92865-2212
Practice Telephone 7148704772
Mailing Telephone 9514401501
Enumeration Date 2007-11-14
Last Update Date 2007-11-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
18199 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1950 SUNNYCREST DR
SUITE 2300
City FULLERTON
State CA
Zip Code 92835-3638

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518961911 Robert Emmitt Mccoy Surgery 1950 Sunnycrest Dr, Ste 2600, Fullerton, CA 92835-3638 2005-06-13
1902204092 Js Alternative Health Corporation Chiropractor 1950 Sunnycrest Dr, Suite 2000, Fullerton, CA 92835-3638 2014-12-05
1568868701 Jaseng Alternative Health Corporation Acupuncturist 1950 Sunnycrest Dr, Suite 2000, Fullerton, CA 92835 2014-11-17
1154755163 Hazelton Dialysis LLC Clinic/Center 1950 Sunnycrest Dr, Ste 1300, Fullerton, CA 92835-3638 2013-08-27
1174881536 Scott Au, Md, Inc Physical Medicine & Rehabilitation 1950 Sunnycrest Dr, Suite 2000, Fullerton, CA 92835-3638 2012-04-24
1659646602 Huntington Reproductive Center Medical Group, A Medical Corporation Clinical Medical Laboratory 1950 Sunnycrest Dr, Suite 2400, Fullerton, CA 92835-3638 2012-03-08
1790936060 James Park Dds, Inc. Dentist 1950 Sunnycrest Dr, Suite 3300, Fullerton, CA 92835-3638 2008-10-06
1508089707 Stuart L Feldman Urology 1950 Sunnycrest Dr, #3400, Fullerton, CA 92835-3638 2007-04-10
1689897761 Derrick V Marinelli Urology 1950 Sunnycrest Dr, #3400, Fullerton, CA 92835-3638 2007-04-10
1780721852 James Keonuk Park Dentist 1950 Sunnycrest Dr, Suite 3300, Fullerton, CA 92835-3638 2007-01-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1073127098 Cecile Mae Sam Physical Therapist 2932 Clover Ct, Fullerton, CA 92835 2020-09-08
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1659818631 Jacqueline Rene Miller Specialist/Technologist 2610 Associated Rd, Apt A4, Fullerton, CA 92835 2017-01-27
1912361106 John Nathaniel Alvarez Psychiatry & Neurology 401 E Imperial Highway, Fullerton, CA 92835 2016-04-13
1083075030 Advance Recovery Solution, LLC Substance Abuse Rehabilitation Facility 3744 N Hermosa Pl, Fullerton, CA 92835 2016-03-17
1467817981 Michele Ledesma Physical Therapy Assistant 2800 N. Harbor Blvd., Fullerton, CA 92835 2015-12-29
1467820571 Jonghan Kang Acupuncturist 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 2015-09-04
1265840987 Allison Leigh Kennedy Physician Assistant 100 Laguna Rd Ste 208, Fullerton, CA 92835 2014-07-25
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932666815 Emi Pham Physician Assistant 2251 N Harbor Blvd, Fullerton, CA 92835-2601 2019-02-27
1326498361 Kevin Jackson Physician Assistant 2251 N Harbor Blvd, Fullerton, CA 92835-2601 2016-06-21
1205285079 Jane Wu Physician Assistant 901 W Orangethorpe Ave, Fullerton, CA 92832-2826 2016-06-12
1376888735 Daniel Brian Mcconnell Jr. Physician Assistant 101 Laguna Rd, Suite A, Fullerton, CA 92835-3634 2012-12-11
1962787838 Julie B Hastin Physician Assistant 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 2011-10-11
1306154604 Rebecca Schilleci Physician Assistant 101 Laguna Rd, Suite A, Fullerton, CA 92835-3634 2010-09-21
1063692366 Kendra Higgins Physician Assistant 680 Langsdorf Dr, Suite 103, Fullerton, CA 92831-3702 2007-11-05
1932388840 Jaime Neri Jr. Physician Assistant 2720 N Harbor Blvd, Suite 130, Fullerton, CA 92835-2609 2007-10-26
1831227610 Jason Robert Cook Physician Assistant 2720 N Harbor Blvd, Suite 130, Fullerton, CA 92835-2609 2007-03-01
1902949951 Pk Logan Physician Assistant 150 Laguna Rd, Fullerton, CA 92835-3614 2007-02-15
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Competitor

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City FULLERTON
Zip Code 92835

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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