MOYNIHAN FAMILY PRACTICE (NPI# 1689210825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689210825 |
| Entity Type | Organization |
| Organization Name | MOYNIHAN FAMILY PRACTICE |
| Practice Address |
6620 Coyle Ave Ste 416 Carmichael CA 95608-6338 |
| Mailing Address |
Po Box 632 Davis CA 95617-0632 |
| Practice Telephone | 5304004880 |
| Mailing Telephone | 5304004880 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |
| Authorized Official Name | DR. KEVIN M MOYNIHAN (OWNER/PRESIDENT/PHYSICIAN) |
| Authorized Official Telephone | 5304004880 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G781610 | 05 |
| Other Name | Type Code |
|---|---|
| Moynihan Family Practice | Doing Business As Name - Organization |
| Street Address |
6620 COYLE AVE STE 416 |
| City | CARMICHAEL |
| State | CA |
| Zip Code | 95608-6338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776042 | Amari Home Health Care Inc. | Home Health | 6722 Fair Oaks Blvd., Suite 203, Carmichael, CA 95608 | 2020-09-29 |
| 1891333621 | Sonya Michelle Hernandez | Durable Medical Equipment & Medical Supplies | 5110 Ramona Vista Way, Carmichael, CA 95608 | 2019-12-11 |
| 1922640903 | Sacramento County Office of Education | Clinic/Center | Barrett Middle School/san Juan Unified School District, 4243 Barrett Road, School Counseling Office, Carmichael, CA 95608 | 2019-10-11 |
| 1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
| 1124534920 | Svitlana Plaschke | Nurse Practitioner | 5740 Windmill Way Ste 5, Carmichael, CA 95608 | 2017-12-17 |
| 1144770256 | Sacramento Foot and Ankle Center, Inc | Podiatrist | 5120 Manzanita Ave, Suite 100, Carmichael, CA 95608 | 2016-10-12 |
| 1457725202 | Sarah Beshay | Pharmacist | 4960 Heatherdale Ln, Carmichael, CA 95608 | 2015-11-17 |
| 1568835981 | Shivam Nand | Dentist | 2447 Mission Ave Ste B, Carmichael, CA 95608 | 2015-11-06 |
| 1487063434 | Alejandro Saropdas Mendoza | Pathology | Mercy San Juan Medical Center, 6501 Coyle Avenue, Carmichael, CA 95608 | 2014-08-04 |
| 1689014243 | Atkinson Youth Services, Inc. | Community/Behavioral Health | 4718 Engle Road, Carmichael, CA 95608 | 2013-06-27 |
| Find all providers in zip 95608 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316354830 | Donald S Staab Jr, Fnp & Jose R Sanchez, Md | Family Medicine | 3625 Mission Ave Ste D, Carmichael, CA 95608-2954 | 2014-07-16 |
| 1245424092 | Ritchie Wong, Md, Inc | Family Medicine | 3650 Mission Ave Ste 1, Carmichael, CA 95608-2933 | 2007-09-04 |
| 1366647737 | Vuong Minh Duc | Family Medicine | 4782 Marlborough Way, Carmichael, CA 95608 | 2007-06-18 |
| 1235332271 | Robert Howard Nelson | Family Medicine | 1309 Philomene Court, Carmichael, CA 95608 | 2007-06-07 |
| 1891865408 | John Joseph Champlin | Family Medicine | 6651 Madison Ave, Carmichael, CA 95608-0602 | 2006-11-09 |
| 1083705461 | Abrham Tekola | Family Medicine | 5740 Windmill Way, Suite # 5, Carmichael, CA 95608-1379 | 2006-09-28 |
| 1699866632 | Leonard Louis Magnani | Family Medicine | 1600 Mcclaren Dr, Carmichael, CA 95608-5936 | 2006-09-27 |
| 1255436044 | Reinhardt G Hilzinger | Family Medicine | 7124 Borrego Way, Carmichael, CA 95608-1504 | 2006-09-14 |
| 1184656662 | Isaac Barr Freeman | Family Medicine | 6500 Coyle Ave, Suite #5, Carmichael, CA 95608-0301 | 2006-07-07 |
| 1649227885 | Frances Anne Broddrick | Family Medicine | 4156 Manzanita Ave, Suite 100, Carmichael, CA 95608-1726 | 2006-05-30 |
| Find all providers in CARMICHAEL | ||||
| City | CARMICHAEL |
| Zip Code | 95608 |
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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.