MR. BRANDON MORITZ (NPI# 1265911341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265911341 |
| Entity Type | Individual |
| Full Name | MR. BRANDON MORITZ |
| Credential | FNP |
| Practice Address |
5623 Kanan Rd Agoura CA 91301-3358 |
| Practice Telephone | 8189915522 |
| Mailing Telephone | 8189915522 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2019-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95009261 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524537 | Brandon William Moritz | Student in an Organized Health Care Education/Training Program | University of Oklahoma College of Medicine, 800 Stanton L. Young Blvd, Oklahoma City, OK 73117 | 2020-09-29 |
| Street Address |
5623 KANAN RD |
| City | AGOURA |
| State | CA |
| Zip Code | 91301-3358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295246924 | Sandy Kang | Pharmacist | 5623 Kanan Rd, Agoura, CA 91301-3358 | 2017-10-20 |
| 1588916878 | Ronnie Palache | Nurse Practitioner | 5623 Kanan Rd, Agoura, CA 91301-3358 | 2012-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126823 | Krista Marie Windisch | Technician | 5836 Stonecrest Drive, Agoura, CA 91301 | 2019-10-22 |
| 1154872372 | Evolve Growth Initiatives LLC | Clinic/Center | 6425 Chesebro Road, Agoura, CA 91301 | 2016-10-24 |
| 1760851224 | Robert Kevin Ryan | Counselor | 28310 Roadside Drive Suite 235, Agoura Hills, CA 91301 | 2015-09-15 |
| 1922484054 | Mahyar Okhovat, M.d. Inc | Psychiatry & Neurology | 2925 Canwood St, 109, Agoural Hills, CA 91301 | 2015-07-30 |
| 1982083929 | Alfred Charles Deciutiis Jr. | Internal Medicine | 32062 1/2 Lobo Canyon, Agoura, CA 91301 | 2015-05-22 |
| 1821401787 | Brandie Boghosian | Psychologist | 30200 Agoura Rd Ste 190, Agoura, CA 91301 | 2014-06-09 |
| 1114339041 | Unique Care Los Angeles Hospice, Inc. | Hospice Care, Community Based | 27001 Agoura Rd #110, Calabasas, CA 91301 | 2014-05-27 |
| 1588905574 | Irit Almog | Marriage & Family Therapist | 5308 Derry Ave Ste L201, Agoura Hills, CA 91301 | 2013-03-15 |
| 1902152507 | Bethany Vaudrey | Psychologist | 28328 Agoura Rd Ste 102, Agoura Hills, CA 91301 | 2012-08-01 |
| 1508142472 | Jill Torres | Psychologist | 28729 Roadside Dr Ste 151, Agoura Hills, CA 91301 | 2011-10-24 |
| Find all providers in zip 91301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588916878 | Ronnie Palache | Nurse Practitioner | 5623 Kanan Rd, Agoura, CA 91301-3358 | 2012-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. BRANDON MORITZ.
| 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.