Healthcare Provider Details

I. General information

NPI: 1740237031
Provider Name (Legal Business Name): DAVID B. MOYER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 HOWE ST
OAKLAND CA
94611-5312
US

IV. Provider business mailing address

3801 HOWE ST
OAKLAND CA
94611-5312
US

V. Phone/Fax

Practice location:
  • Phone: 510-752-6439
  • Fax: 510-752-6872
Mailing address:
  • Phone: 510-752-6439
  • Fax: 510-752-6872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberG32996
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG32996
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: