Steven Vincent Moore, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

G057399 Issued in CA

Practice address

19 Upper Ragsdale Dr Ste 150
Monterey, CA 93940-7881

Phone

(831) 655-4263

NPI assigned

Nov 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2018 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monterey Peninsula Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Capitola, CA
  • NPI 1407116361
  NPD (past)

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114098316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 UPPER RAGSDALE DR STE 150",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407881",
            "telephone_number": "831-655-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 UPPER RAGSDALE DR STE 150",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407881",
            "telephone_number": "831-655-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "STEVEN",
        "middle_name": "VINCENT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G057399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurine Moody, M.F.T.
• Isabelle Barnard Moonan, M.D.
• Anderson Sheldon Moore, PHARMD, BCPS
• Andrea Moore, LCSW
• Colleen M Moore
• Barbara J. Morais, MFT
• Barbara Lynn Morales-Rossi, LMFT, LAADC
• Terrance James Moran, MD
• Daisy Moreno
• Rita Christina Moreno

• Specialist in Monterey, CA
• Providers in Monterey, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.