JOHNNY MOYER (NPI# 1962825000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962825000 |
Entity Type | Individual |
Full Name | JOHNNY MOYER |
Credential | N.P. |
Practice Address |
732 Mott St Ste 100-110 San Fernando CA 91340-4237 |
Mailing Address |
22611 Califa St Woodland Hills CA 91367-4468 |
Practice Telephone | 8189635690 |
Enumeration Date | 2014-01-24 |
Last Update Date | 2020-04-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95000240 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 95000240 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
20800 Sherman Way, Winnetka, CA 913062707 | 8188832273 |
Street Address |
732 MOTT ST STE 100-110 |
City | SAN FERNANDO |
State | CA |
Zip Code | 91340-4237 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801936489 | Adriana Cobian | Nurse Practitioner | 732 Mott St Ste 100-110, San Fernando, CA 91340-4237 | 2007-02-06 |
1205397783 | Sandy D Flores | Dietitian, Registered | 732 Mott St Ste 100-110, San Fernando, CA 91340-4237 | 2019-03-27 |
1508307745 | Andre Basmadzhyan | Family Medicine | 732 Mott St Ste 100-110, San Fernando, CA 91340-4237 | 2017-03-20 |
1427393123 | Mark A Folmsbee | General Practice | 732 Mott St Ste 100-110, San Fernando, CA 91340-4237 | 2012-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043844301 | Atalla Dental Corp. | Clinic/Center | 557 N. Maclay Ave., San Fernando, CA 91340 | 2020-02-26 |
1235623190 | Kohan & Rodef Dental Corporation | Dentist | 500 San Fernardo Mission Blvd Suite #2, San Fernardo, CA 91340 | 2018-06-14 |
1700388766 | North Valley Diagnostics Services, Inc. | Electrodiagnostic Medicine | 670 San Fernando Mission Blvd, #d, San Fernando, CA 91340 | 2018-03-06 |
1750889531 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 1204 San Fernando Rd, San Fernando, CA 91340 | 2018-01-26 |
1689118598 | Maira Yesenia Lopez | Counselor | 565 S. Brand Blvd, San Fernando, CA 91340 | 2016-12-12 |
1386042166 | Afsaneh Mazaheri-sichani | Dentist | 777 Turman St., Suite 107, San Fernando, CA 91340 | 2014-12-11 |
1396154167 | Lorena Tercero | Marriage & Family Therapist | 302 S. Brand Blvd, San Fernando, CA 91340 | 2014-08-06 |
1689082836 | Germine Aznavour | Pharmacist | 12920 Foothill Blvd, San Fernando, CA 91340 | 2014-07-31 |
1841605151 | Aswani Dental Corporation | Clinic/Center | 12940 Foothill Blvd Ste C, San Fernando, CA 91340 | 2014-06-25 |
1467705624 | Brenda Lira | Social Worker | 11565 Laurel Canyon Blvd., Suite 116, San Fernando, CA 91340 | 2012-10-24 |
Find all providers in zip 91340 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245232644 | Rowena Reyes Alcantara-fernandez | Nurse Practitioner | 1600 San Fernando Road, San Fernando, CA 91340-1300 | 2005-08-15 |
1760080915 | Yvonne Shih | Nurse Practitioner | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2020-10-10 |
1316422017 | Etsuko Takehana Jacobs | Nurse Practitioner | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2018-09-27 |
1942700232 | Armen Okunyan | Nurse Practitioner | 732 Mott St # 100110, San Fernando, CA 91340-4237 | 2018-02-14 |
1619418480 | Alvin Uybun | Nurse Practitioner | 220 N Maclay Ave, San Fernando, CA 91340-2909 | 2017-03-13 |
1760746242 | Georgina Bachoura | Nurse Practitioner | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2012-06-28 |
1598093759 | Seung Choi | Nurse Practitioner | 1212 Pico St, San Fernando, CA 91340-3503 | 2009-11-30 |
1356387567 | Rashaye Kendria Freeman | Nurse Practitioner | 1600 San Fernando Rd., San Fernando, CA 91340 | 2006-06-22 |
1013918374 | Rebecca Lee Cross | Nurse Practitioner | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2005-08-09 |
1326049941 | Linda Janine Moran | Nurse Practitioner | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2005-08-04 |
Find all providers in SAN FERNANDO |
City | SAN FERNANDO |
Zip Code | 91340 |
Please comment or provide details below to improve the information on JOHNNY MOYER.
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.