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JIMMY MOC DPT
NPI 1396332151
Physical Therapist - Orthopedic in Glendale, CA

Active since December 28, 2020Accepts Medicare Assignment
1111 N BRAND BLVD STE J&K, GLENDALE, CA 91202(818) 244-0468 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 12, 2021, Apr 23, 2021, Feb 4, 2021 and 1 more (4 updates tracked since 2020).

About Jimmy Moc Dpt NPPES

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

JIMMY MOC DPT (NPI 1396332151) is an individual orthopedic provider in Glendale, California, licensed in California (299499) and active in the NPI registry since December 2020. He maintains 2 additional practice locations and is a graduate of Other (2020).

NPPES Registry Identity

NPI1396332151
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameJIMMY MOCCredential: DPT
Location Address1111 N BRAND BLVD STE J&KGlendale, CA 91202-3070
Mailing Address1111 N Brand Blvd Ste J&kGlendale, CA 91202-3070
Phone(818) 244-0468
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 28, 2020
Last NPPES UpdateSeptember 26, 20234 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
✔ NPI 1396332151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CA · 299499
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
1111 N BRAND BLVD STE J&K, Glendale, CA 91202
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15757 Wilshire Blvd Ste 460Los Angeles, CA 90036-3658 · Phone (323) 634-0221
Location 23600 N Verdugo Rd Ste 305Glendale, CA 91208-1258 · Phone (818) 699-0055

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jimmy Moc Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628484193
PECOS Enrollment IDI20210308001594

Medicare Billing Reassignment

Medicare enrollment records show Jimmy Moc reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
1.7 mi
Clinical Medical Laboratory
4580 ELECTRONICS PL
Los Angeles, CA 90039
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1346328853 (818) 502-5940

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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUSTIN HAN CHUNG DPT
Physical Therapist
1111 N BRAND BLVD STE J&K
GLENDALE, CA 91202
Los Angeles County (818) 244-0468
JOSEPH PACALDO ABANO PT, DPT
Physical Therapist
1111 N BRAND BLVD STE J&K
GLENDALE, CA 91202
Los Angeles County (330) 581-4455
SPENCER MAR
Physical Therapist
1111 N BRAND BLVD STE J&K
GLENDALE, CA 91202
Los Angeles County (818) 244-0468
DR. TROY D DO DPT
Physical Therapist
1111 N BRAND BLVD STE J&K
GLENDALE, CA 91202
Los Angeles County (818) 244-0468
DR. DEANNA PAIGE SIMS PT, DPT
Physical Therapist
1111 N BRAND BLVD STE J&K
GLENDALE, CA 91202
Los Angeles County (818) 244-0468
SELECT CS PHYSICAL THERAPY, P.C.
Clinic/Center (Physical Therapy)
1111 N BRAND BLVD STE J&K
GLENDALE, CA 91202
Los Angeles County (818) 244-0468

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 Jimmy Moc's NPI number?

The NPI number for Jimmy Moc is 1396332151. It was assigned to this individual provider in the NPPES registry on December 28, 2020.

Where is Jimmy Moc located?

Jimmy Moc practices at 1111 N Brand Blvd Ste J&k, Glendale, CA 91202. The listed phone number is (818) 244-0468.

What is Jimmy Moc's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Jimmy Moc enrolled in Medicare?

Yes. Jimmy Moc is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jimmy Moc's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jimmy Moc reassigns Medicare benefits to Southern California Permanente Medical Group (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 Jimmy Moc'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 Jimmy Moc was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.