KENNETH C. MOY (NPI# 1154409068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154409068 |
| Entity Type | Individual |
| Full Name | KENNETH C. MOY |
| Credential | MD |
| Practice Address |
1721 W Yosemite Ave Manteca CA 95337-5130 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 2094762000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A71011 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A710110 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639164189 | Kenneth Chi-kong Moy | Anesthesiology | 201 Plaza Dr Ste C, Sikeston, MO 63801-5105 | 2005-09-12 |
| 1588607147 | Kenneth L Moy | Emergency Medicine | 18321 Clark St, Tarzana, CA 91356-3501 | 2006-06-13 |
| Street Address |
1721 W YOSEMITE AVE |
| City | MANTECA |
| State | CA |
| Zip Code | 95337-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942283700 | Elizabeth Ann Cliburn | Family Medicine | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2005-11-26 |
| 1215543202 | Gilberto Rodriguez | Respiratory Therapist, Registered | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2020-09-16 |
| 1649891755 | Athena Bechere | Dietitian, Registered | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2020-04-29 |
| 1841854189 | Kenzi Ellen Mather | Physical Therapist | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2019-04-23 |
| 1114498789 | Lisa Michelle Gitthens Moses | Internal Medicine | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2018-12-07 |
| 1578030953 | Edmon Artinyan | Psychologist | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2018-10-24 |
| 1902311756 | Lily Victoria Kadosh | Psychologist | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2017-12-01 |
| 1205361474 | Kyle K Kato | Pharmacist | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2017-04-26 |
| 1205361896 | Jeffrey Meath | Pharmacist | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2017-04-21 |
| 1104350743 | Shama Afzal | Pharmacist | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2017-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640485 | Shanitta D Hines | Counselor | Victor Community Support Services, 302 Cherry Lane, CA 95337 | 2020-08-19 |
| 1548658685 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 401 S Airport Way, Manteca, CA 95337 | 2014-12-23 |
| 1225430655 | Elizabeth Julia Ann Tyner | Hearing Instrument Specialist | 1079 Eucalyptus, Suite B, Manteca, CA 95337 | 2014-09-17 |
| 1134565740 | Aegis Treatment Centers, LLC | Clinic/Center | 955 W. Center Street, Suites 12a, 12b & 14, Manteca, CA 95337 | 2013-05-22 |
| 1053668947 | Roger Cabo Inciong | Physical Therapist | 3652 Rapallo Way, Manteca, CA 95337 | 2012-08-09 |
| 1295997757 | Costco Wholesale Corporation | Pharmacy | 2440 Daniels St, Manteca, CA 95337 | 2008-06-26 |
| 1255474235 | Carmen Catherine Nunes | Marriage & Family Therapist | 1771 Yosemite Ave., Manteca, CA 95337 | 2007-02-15 |
| 1063577062 | Kathy Laverne Barron | Counselor | 1789 W. Yosemite Ave., Sierra Building, 1st Floor, Manteca, CA 95337 | 2006-12-27 |
| 1891853149 | R. Ciccarelli, Dds., R. Joseph, Dds., M. El Farra, Dds., D. Saini, Dds | Dentist | 1507 W. Yosemite, Manteca, CA 95337 | 2006-12-05 |
| 1467528265 | Annie Mathew | Pharmacist | 1777 West Yosemite Ave, Manteca, CA 95337 | 2006-11-27 |
| Find all providers in zip 95337 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952357741 | Thomas Geraci | Emergency Medicine | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-05-25 |
| 1245400019 | Amanda L Perez | Emergency Medicine | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2008-03-07 |
| 1578731261 | Sophie Kay | Emergency Medicine | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2008-02-14 |
| 1871671156 | Victor Alexander | Emergency Medicine | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-02 |
| 1205915352 | Max William Miller | Emergency Medicine | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-02 |
| 1710065396 | Paulette M. Gori | Emergency Medicine | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| 1376621185 | Daniel F. Merges | Emergency Medicine | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| 1285712091 | Yasmin E. Emery | Emergency Medicine | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| 1134207954 | Kanwal S. Gill | Emergency Medicine | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| 1851479661 | Andrew C. Jaramillo | Emergency Medicine | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| Find all providers in MANTECA | ||||
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| 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.