Dr Toni Cecilia Moody, MD | |
4815 Watt Ave, North Highlands, CA 95660-5108 | |
(916) 454-2345 | |
Not Available |
Full Name | Dr Toni Cecilia Moody |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4815 Watt Ave, North Highlands, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083792477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G89178 (California) | Primary |
208000000X | Pediatrics | ME72512 (Florida) | Secondary |
208000000X | Pediatrics | 34405 (Georgia) | Secondary |
Entity Name | County Of San Joaquin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287 |
Entity Name | San Joaquin Faculty Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742 |
Entity Name | Elica Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548425853 PECOS PAC ID: 4385706845 Enrollment ID: O20090818000598 |
Mailing Address | Practice Location Address |
---|---|
Dr Toni Cecilia Moody, MD 1860 Howe Ave Ste 440, Sacramento, CA 95825-1098 Ph: (916) 569-8484 | Dr Toni Cecilia Moody, MD 4815 Watt Ave, North Highlands, CA 95660-5108 Ph: (916) 454-2345 |
Florence Nkeiruka Ugboh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4815 Watt Ave, North Highlands, CA 95660 Phone: 916-454-2345 |