JESSICA MOYA LCSW 67422
NPI 1497169890
Social Worker in Pacoima, CA
About Jessica Moya Lcsw 67422 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA MOYA LCSW 67422 (NPI 1497169890) is an individual social worker in Pacoima, California, licensed in California (67422) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Jessica Moya Lcsw 67422 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jessica Moya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pasadena, CA 91101
- Reassigned Medicare billing, California enrollment
- 7 clinicians in this Medicare group
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 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.
PACOIMA, CA 91331
PACOIMA, CA 91331
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 Jessica Moya's NPI number?
The NPI number for Jessica Moya is 1497169890. It was assigned to this individual provider in the NPPES registry on June 13, 2014.
Where is Jessica Moya located?
Jessica Moya practices at 12450 Van Nuys Blvd Suite 200, Pacoima, CA 91331. The listed phone number is (818) 896-1161.
What is Jessica Moya's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Jessica Moya enrolled in Medicare?
Yes. Jessica Moya 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 organizations bill Medicare for Jessica Moya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Moya reassigns Medicare benefits to 2 organizations: Cala Psychological Services, Inc (Pasadena, CA) and Grow Healthcare Group PC (San Jose, CA). Each 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 Jessica Moya'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 Jessica Moya was last updated on July 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jessica Moya, LCSW 67422 · NPI 1497169890
Social Worker provider in Pacoima, California. Individual provider, active in the CMS NPPES registry since June 13, 2014.
## Identity
- **NPI:** 1497169890 (Entity type: Individual)
- **Enumerated:** June 13, 2014
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 67422 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12450 VAN NUYS BLVD, SUITE 200, Pacoima, CA 91331-1391
- **Phone:** (818) 896-1161 · **Fax:** (818) 896-5069
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cala Psychological Services, Inc (NPI 1851886535, Pasadena, CA); Grow Healthcare Group PC (NPI 1154994846, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 5, 2016
- **Other identifiers:** Medicaid 7068 (CA); Medicaid 6758 (CA); Medicaid 7420 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1497169890) · Data from the CMS NPPES public registry.