Healthcare Provider Details

I. General information

NPI: 1538695572
Provider Name (Legal Business Name): KAREEM MOASIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

906 SYCAMORE AVE STE 201
VISTA CA
92081-7851
US

IV. Provider business mailing address

906 SYCAMORE AVE STE 201
VISTA CA
92081-7851
US

V. Phone/Fax

Practice location:
  • Phone: 760-691-1901
  • Fax: 760-691-1902
Mailing address:
  • Phone: 760-691-1901
  • Fax: 760-691-1902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number19849
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA167456
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number19849
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: