ALEXANDRA MARY MOULTON MD
NPI 1386272276
Surgery - Pediatric Surgery in Los Angeles, CA
About Alexandra Mary Moulton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDRA MARY MOULTON MD (NPI 1386272276) is an individual pediatric surgery provider in Los Angeles, California, licensed in California (A185382) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Torrance.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alexandra Mary Moulton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Alexandra Moulton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
- 1,281 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
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 Alexandra Moulton's NPI number?
The NPI number for Alexandra Moulton is 1386272276. It was assigned to this individual provider in the NPPES registry on March 28, 2020.
Where is Alexandra Moulton located?
Alexandra Moulton practices at 4650 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 660-2450.
What is Alexandra Moulton's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Alexandra Moulton enrolled in Medicare?
Yes. Alexandra Moulton is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Alexandra Moulton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Moulton reassigns Medicare benefits to Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexandra Moulton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alexandra Moulton was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Alexandra Mary Moulton, MD · NPI 1386272276
Pediatric Surgery physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 28, 2020.
## Identity
- **NPI:** 1386272276 (Entity type: Individual)
- **Enumerated:** March 28, 2020
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** A185382 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4650 W SUNSET BLVD, Los Angeles, CA 90027-6062
- **Phone:** (323) 660-2450
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Children's Hospital Los Angeles Medical Group, Inc. (NPI 1265530653, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1386272276) · Data from the CMS NPPES public registry.