ROY H MOFFATT (NPI# 1386638054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386638054 |
| Entity Type | Individual |
| Full Name | ROY H MOFFATT |
| Credential | M.D. |
| Practice Address |
1350 W Covina Blvd San Dimas CA 91773-3245 |
| Mailing Address |
Po Box 2311 Chatsworth CA 91313-2311 |
| Practice Telephone | 9095996811 |
| Mailing Telephone | 8187189500 |
| Mailing Fax Number | 8187189507 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2008-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
C39148 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C391480 | 05 |
| Street Address |
1350 W COVINA BLVD |
| City | SAN DIMAS |
| State | CA |
| Zip Code | 91773-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007181 | Timothy Minnihan | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-11 |
| 1336764091 | Janice Floria Valledor | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1508481276 | Maria Norma Velvick | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1255956900 | Lori Longmeyer | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1447875190 | Teresa Schmook | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1609491372 | Maria Sagrario Arias Azurin | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1972966828 | Flavien Eric Leclere | Emergency Medicine | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2016-03-29 |
| 1386961456 | Earl Justin Macaso | Dietitian, Registered | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2010-04-28 |
| 1558595967 | Ray Zhao | Emergency Medicine | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2009-05-13 |
| 1720239460 | San Dimas Emergency Medical Associates Inc. | Emergency Medicine | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2008-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533114 | Bonita Counseling Center | Marriage & Family Therapist | 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 | 2020-09-16 |
| 1457824419 | Georgina Almaraz | Case Manager/Care Coordinator | 677 Cliffside Dr Ste 677, San Dimas, CA 91773 | 2019-01-02 |
| 1922581560 | Readirides, Inc. | Non-emergency Medical Transport (VAN) | 451 W Bonita Ave Ste 14, San Dimas, CA 91773 | 2018-09-10 |
| 1710468376 | Marianne Shehata | Dentist | 925 Avenida Loma Vista, San Dimas, CA 91773 | 2018-08-22 |
| 1750875738 | Compassionate Hearts Home Health, Inc. | Home Health | 237 W Bonita Ave Ste F, San Dimas, CA 91773 | 2018-06-21 |
| 1548786056 | Era Life Care | Home Health | 1109 W San Bernardino Rd Suite 110, Covina, CA 91773 | 2017-08-16 |
| 1700302569 | Melanie Sabrina Schmuck | Physical Therapist | 1301 West Arrow Highway, Suite 130, San Dimas, CA 91773 | 2017-08-14 |
| 1811410111 | Nicole Geraldine Skinner | Social Worker | 762 W Cypress St, San Dimas, CA 91773 | 2017-07-19 |
| 1245760842 | Caren Senn | Dietitian, Registered | 917 Laramie Drive, San Dimas, CA 91773 | 2017-06-15 |
| 1417485020 | Young Mi Kim | Acupuncturist | 1121 Via Verde, San Dimas, CA 91773 | 2017-05-25 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427042035 | San Dimas Pathology Associates | Pathology | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2005-09-09 |
| 1265426936 | Robert E Riechmann | Pathology | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2005-09-08 |
| 1043204712 | Kumari S Wickramasinghe | Pathology | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2005-09-08 |
| 1588658249 | Glenn S Hausdorfer | Pathology | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2005-09-08 |
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|---|---|---|---|---|
| 1063058170 | Paragon Diagnostics San Francisco | Pathology | 900 Hyde St Fl 1, San Francisco, CA 94109-4806 | 2019-11-24 |
| 1669034518 | Diagnostic Pathology Medical Group Inc | Pathology | 2801 K St Ste 235, Sacramento, CA 95816-5170 | 2019-07-01 |
| 1093277956 | Shajia Rahman Ansari | Pathology | 38558 Vancouver Cmn, Fremont, CA 94536-4056 | 2019-04-01 |
| 1831655158 | Rana Richeh | Pathology | 12 Spectrum Pointe Dr, Lake Forest, CA 92630-2242 | 2019-02-11 |
| 1710457510 | University of California Sfgh Medical Group | Pathology | 1001 Potrero Ave Rm 2m14, San Francisco, CA 94110-3518 | 2018-12-05 |
| 1770053233 | Samuel Jason Guzman | Pathology | 10026 Karmont Ave, South Gate, CA 90280-5417 | 2018-11-27 |
| 1144799750 | Penguin Medical Group, Inc | Pathology | 11 W Del Mar Blvd Ste 201, Pasadena, CA 91105-2593 | 2018-11-13 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
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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.