Individual provider Active NPI

Hugh Christopher Moore, M.D.

  • Specialist
  • Fullerton, CA
National Provider Identifier
1033139001
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G51590 Issued in CA
Practice address
1950 Sunnycrest Dr Ste 3800
Fullerton, CA 92835-3647
Phone
(714) 447-4100
Fax
(714) 447-1923
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G51590 CA Primary

Addresses

Primary practice location

1950 Sunnycrest Dr Ste 3800
Fullerton, CA 92835-3647

Mailing address

1950 Sunnycrest Dr Ste 3800
Fullerton, CA 92835-3647
Phone (714) 447-4100

Other identifiers 1

IdentifierTypeStateIssuer
040006425OtherRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G51590CAMDSpecialist

Interoperability endpoints

  • Direct secure messaging: hcm103pcs636@primeclinicalsystems.direct-ci.com
  • Direct secure messaging: hcm103pcs@m636.primeclinicalsystems.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1033139001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SUNNYCREST DR STE 3800",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353647",
            "telephone_number": "714-447-4100",
            "fax_number": "714-447-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SUNNYCREST DR STE 3800",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353647",
            "telephone_number": "714-447-4100",
            "fax_number": "714-447-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "HUGH",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G51590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "040006425",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.