David Michael Moore

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G54566 Issued in CA

Practice address

2601 Oswell St
Ste 101
Bakersfield, CA 93306-3156

Phone

(661) 872-1000

Fax

(661) 873-8304

NPI assigned

Jul 26, 2006

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 identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Northeast Walk-in Clinic, a Medical Corporation

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1487776969
  Medicare reassignment
• Comprehensive Pediatric & Family Medical Group Inc

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1649293572
  NPD (past)
• Kern Faculty Medical Group

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1174546006
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1184647349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60185",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933860185",
            "telephone_number": "661-872-1000",
            "fax_number": "661-873-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 OSWELL ST",
            "address_2": "STE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933063156",
            "telephone_number": "661-872-1000",
            "fax_number": "661-873-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G54566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G545660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanhey Moon, MD
• Jinhwa Moon
• Donna Mooney, LVN
• Abigail Anne Moore, ATC
• Christine Noelle Moore, M.A.
• Jack Moore
• Jade Tailyr Moore
• Jarrett Thomas Moore
• Jenny Elizabeth Moore, LCSW
• Kaelen J Moore

• Family Medicine Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.