Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EYERUSALEM MOGES PAC
NPI 1326971060
Physician Assistant in San Jose, CA

Active since June 03, 2026
1584 KOOSER RD, SAN JOSE, CA 95118(408) 551-9488 Get Directions Write a Review

NPPES record added: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eyerusalem Moges Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYERUSALEM MOGES PAC (NPI 1326971060) is an individual physician assistant in San Jose, California and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1326971060
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEYERUSALEM MOGESCredential: PAC
Location Address1584 KOOSER RDSan Jose, CA 95118-3343
Mailing Address1584 Kooser RdSan Jose, CA 95118-3343 · (408) 551-9488
Sole ProprietorNo
Enumeration DateJune 3, 2026
NPPES CertifiedJune 3, 2026
NPI 1326971060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1584 KOOSER RD, San Jose, CA 95118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eyerusalem Moges's NPI number?

The NPI number for Eyerusalem Moges is 1326971060. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Where is Eyerusalem Moges located?

Eyerusalem Moges practices at 1584 Kooser Rd, San Jose, CA 95118. The listed phone number is (408) 551-9488.

What is Eyerusalem Moges's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Eyerusalem Moges was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.