JAKE R MOSS CRNA
NPI 1750062022
Nurse Anesthetist, Certified Registered in Oxnard, CA

Active since July 28, 2023Accepts Medicare Assignment
1600 N ROSE AVE, OXNARD, CA 93030(805) 988-2500 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2025, Dec 30, 2024, Oct 7, 2024 and 2 more (5 updates tracked since 2023).

About Jake R Moss Crna NPPES

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

JAKE R MOSS CRNA (NPI 1750062022) is an individual nurse anesthetist, certified registered in Oxnard, California, licensed in California (95002485) and active in the NPI registry since July 2023. He maintains a secondary practice location in Studio City and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750062022
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJAKE R MOSSCredential: CRNA
Location Address1600 N ROSE AVEOxnard, CA 93030-3722
Mailing Address12858 Woodbridge StStudio City, CA 91604-1560
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 28, 2023
Last NPPES UpdateApril 3, 20255 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1750062022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95002485
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 95133238 (CA)
1600 N ROSE AVE, Oxnard, CA 93030

Secondary Practice Location 1

Location 112858 Woodbridge StStudio City, CA 91604-1560 · Phone (661) 433-4209

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

Jake R Moss Crna 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 ID6901334275
PECOS Enrollment IDI20250114003160

Medicare Billing Reassignments

4

Medicare enrollment records show Jake Moss reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Maintenance Organization
2103 E GONZALES RD
Oxnard, CA 93036
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
Anesthesiology
488 EAST SANTA CLARA STREET, SUITE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 72 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1794 S BARRANCA AVE
Glendora, CA 91740
  • Reassigned Medicare billing, California enrollment
  • 43 clinicians in this Medicare group
Anesthesiology
2101 N WATERMAN AVE
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • 270 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Emergency Medicine
1600 N ROSE AVE
OXNARD, CA 93030
Nurse Practitioner
1600 N ROSE AVE
OXNARD, CA 93030
Anesthesiology
1600 N ROSE AVE
OXNARD, CA 93030
Anesthesiology
1600 N ROSE AVE
OXNARD, CA 93030
Emergency Medicine (Pediatric Emergency Medicine)
1600 N ROSE AVE
OXNARD, CA 93030
Anesthesiology
1600 N ROSE AVE
OXNARD, CA 93030
Hospitalist
1600 N ROSE AVE
OXNARD, CA 93030
Anesthesiology
1600 N ROSE AVE
OXNARD, CA 93030

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 Jake Moss's NPI number?

The NPI number for Jake Moss is 1750062022. It was assigned to this individual provider in the NPPES registry on July 28, 2023.

Where is Jake Moss located?

Jake Moss practices at 1600 N Rose Ave, Oxnard, CA 93030. The listed phone number is (805) 988-2500.

What is Jake Moss's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jake Moss enrolled in Medicare?

Yes. Jake Moss 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 Jake Moss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jake Moss reassigns Medicare benefits to 4 organizations: Southern California Permanente Medical Group (Oxnard, CA), Amsurg Arcadia Anesthesia LP (Arcadia, CA), Glendora Anesthesia Associates LP (Glendora, CA) and Palm Springs Anesthesia Services, PC (San Bernardino, 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 Jake Moss'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 Jake Moss was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.