Sean Michael Pimentel Moore

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

305002 Issued in CA

Practice address

7590 Miramar Rd
San Diego, CA 92126-4232

Phone

(858) 549-4255

NPI assigned

Oct 30, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sean Moore Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1013780337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 VENDOLA DR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919132986",
            "telephone_number": "619-216-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7590 MIRAMAR RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264232",
            "telephone_number": "858-549-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SEAN MICHAEL",
        "middle_name": "PIMENTEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEAN",
            "last_name": "MOORE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia Lynn Moore, M.A.
• Rachel Moore, LMFT
• Raeanne Moore, PH.D.
• Randall James Moore, PHARM.D.
• Ray Moore Jr.
• Shannon Moore
• Shannon Moore
• Shannon Yvette Moore, MD, MPH
• Shavon Cherelle Moore, MD
• Tahelmisha Moore

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.