Mr Kongpeng C Moua, RD - Medicare Dietitian in Stockton, CA

Mr Kongpeng C Moua, RD is a medicare enrolled "Dietitian, Registered" provider in Stockton, California. His current practice location is 425 N California St Ste 7, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 870-5000.

Mr Kongpeng C Moua is licensed to practice in California (license number 8080705) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245875327.

Contact Information

Mr Kongpeng C Moua, RD
425 N California St Ste 7,
Stockton, CA 95202-2130
(209) 870-5000
(209) 870-5020

Map and Direction




Healthcare Provider's Profile

Full NameMr Kongpeng C Moua
GenderMale
SpecialityDietitian, Registered
Location425 N California St Ste 7, Stockton, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245875327
  • Provider Enumeration Date: 11/12/2019
  • Last Update Date: 11/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2466889068
  • Enrollment ID: I20200220000808

Medical Identifiers

Medical identifiers for Mr Kongpeng C Moua such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245875327NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 8080705 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kongpeng C Moua allows following entities to bill medicare on his behalf.
Provider NameCommunity Medical Centers, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1588729180
PECOS PAC ID: 8426968520
Enrollment ID: O20101027000870

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kongpeng C Moua is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kongpeng C Moua, RD
7820 Center Pkwy Apt 239,
Sacramento, CA 95823-4785

Ph: (209) 777-7446
Mr Kongpeng C Moua, RD
425 N California St Ste 7,
Stockton, CA 95202-2130

Ph: (209) 870-5000

Reviews and Comments


Dietitian, Registered in Stockton, CA

Miss Rosario Aguirre, RD
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Phone: 209-476-5186    Fax: 209-476-3144
Ronli Levi, RD
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Practice Location: 1800 N California St, Stockton, CA 95204
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Christina Ellis,
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Practice Location: 1800 N California St, Stockton, CA 95204
Phone: 408-314-4600    
Vanessa Aldana Romo, RDN
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Practice Location: 425 N California St Ste 7, Stockton, CA 95202
Phone: 209-870-5000    
Mrs. Johnna Coppock, RD
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Practice Location: 1800 N California St, Stockton, CA 95204
Phone: 209-467-6356    
Yesenia Cihuacoatl, RD
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Practice Location: 1617 N California St, Suite 2g, Stockton, CA 95204
Phone: 209-461-5268    Fax: 209-461-5395
Ms. Sandra Joy Sadahiro, R.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 7373 West Ln, Stockton, CA 95210
Phone: 209-476-5419    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.