Dr. Jimmy Moe, M.D.
Anesthesiology in San Mateo, CA. Individual provider (NPI-1).
NPI number1801908322
StatusActive
Last updated in NPPESAug 6, 2024
Details
- NPI
- 1801908322
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jimmy Moe
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Certification date
- Aug 6, 2024
- Last updated
- Aug 6, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ANESTHESIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | A96307 | CA | Yes |
| 207L00000X | Anesthesiology | 242730-1 | NY |
Practice location
515 La Casa AveSan Mateo, CA 94403-5028
Phone 646-410-1187 · Fax 844-868-1254
Mailing address
515 La Casa AveSan Mateo, CA 94403-5028
Phone 646-410-1187 · Fax 844-868-1254
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Anesthesiology Physician providers in San Mateo · All 4,655 providers in San Mateo
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