Organization Active NPI

Moore Care Providers

  • General Practice Physician
  • Northridge, CA
National Provider Identifier
1073847364
Registry record updated Sep 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G258440 Issued in CA
Legal business name
MOORE CARE PROVIDERS
Practice address
8860 Corbin Ave
Ste 386
Northridge, CA 91324-3309
Phone
(818) 428-7521
NPI assigned
Sep 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2009

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

Authorized official

Name
Hal L Meadows
Title
Ceo
Phone
(818) 428-7521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X G258440 CA Primary

Addresses

Primary practice location

8860 Corbin Ave
Ste 386
Northridge, CA 91324-3309

Mailing address

8860 Corbin Ave
Ste 386
Northridge, CA 91324-3309

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1253404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253404800000",
    "number": "1073847364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 CORBIN AVE",
            "address_2": "STE 386",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 CORBIN AVE",
            "address_2": "STE 386",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243309",
            "telephone_number": "818-428-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE CARE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-20",
        "last_updated": "2009-09-20",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "HAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-428-7521"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G258440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2009; 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.