Individual provider Active NPI

William Moore, NP

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1124674981
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95012337 Issued in CA
Practice address
1545 Divisadero St FL 2
San Francisco, CA 94143-3400
Phone
(415) 353-7900
Fax
(415) 353-2640
NPI assigned
Aug 16, 2019
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95012337 CA Primary

Addresses

Primary practice location

1545 Divisadero St FL 2
San Francisco, CA 94143-3400

Mailing address

1545 Divisadero St FL 2
San Francisco, CA 94143-3400
Phone (415) 353-7900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Wjmoore@mednet.ucla.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108002290 CA Practitioner - Nurse Practitioner 1759713969 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1545 Divisadero St
San Francisco, CA 94115-3425
Phone (415) 476-1000

1600 Divisadero St
McB302
San Francisco, CA 94115-3010
Phone (415) 476-1000

1701 Divisadero St
San Francisco, CA 94115-3011
Phone (415) 476-1000

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Valley Health Corporation CurrentSince Jan 28, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 16, 2023 Accepting new patients
University of California San Francisco CurrentSince Aug 16, 2023 Accepting new patients
UCSF Medical Group Business Services Nurse Practitioner CurrentSince Aug 16, 2023 Accepting new patients
Northeast Valley Health Corporation CurrentSince Jan 28, 2020 Accepting new patients
Healthright 360 CurrentSince Jul 6, 2022 Accepting new patients
Northeast Valley Health Corporation Current Accepting new patients
University of California San Francisco CurrentSince Aug 16, 2023 Accepting new patients
Healthright 360 Current Accepting new patients
Regents of the University of California CurrentSince Aug 16, 2023 Accepting new patients
University of California San Francisco Current Accepting new patients
Healthright 360 PastSince Jul 6, 2022 Accepting new patients
Regents of the University of California Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656

1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388

1545 Divisadero St
Fl 2
San Francisco, CA 94143
Phone (415) 353-7900

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

558 Clayton St
San Francisco, CA 94117
Phone (415) 746-1950

14624 Sherman Way
Fl 6
Van Nuys, CA 91405
Phone (818) 988-6335

Interoperability endpoints

  • Direct secure messaging: wjmoore@mednet.ucla.edu
  • Direct secure messaging: wmoore247392@direct-ucsfmedicalcenter.org

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1124674981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 DIVISADERO ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941433400",
            "telephone_number": "415-353-7900",
            "fax_number": "415-353-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 DIVISADERO ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941433400",
            "telephone_number": "415-353-7900",
            "fax_number": "415-353-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "WILLIAM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-16",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Wjmoore@mednet.ucla.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "1399 Roxbury Dr Ste 100",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900354709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.