Active NPI
Patrick M Moore, M.D.
- Surgery Physician
- Murrieta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C53431
- Practice address
- 28078 Baxter Rd
Suite 420
Murrieta, CA 92563-1402 - Phone
- (951) 566-9370
- Fax
- (951) 200-4401
- NPI assigned
- Mar 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD00032619 | WA | |
| Surgery Physician | 208600000X | C53431 | CA | Primary |
Addresses
Primary practice location
28078 Baxter Rd
Suite 420
Murrieta, CA 92563-1402
Mailing address
29910 Murrieta Hot Springs Road
Suite G345
Murrieta, CA 92563-3814
Phone (951) 566-9370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C53431 | Other | CA | CALIFORNIA LICENSE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
25405 Hancock Ave
Suite 217
Murrieta, CA 92562-5978
Phone (951) 477-5700
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025209 | WA | MD | Nephrology Physician |
| C53431 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Coast Surgical Specialists | Surgery | Current | Accepting new patients |
| Patrick Moore MD Inc | Surgery | Current | Accepting new patients |
| Mission Surgical Center Inc | Past | Accepting new patients |
Locations
28078 Baxter Rd
Ste 420
Murrieta, CA 92563
Phone (951) 566-9370
29910 Murrieta Hot Springs Rd
Ste G345
Murrieta, CA 92563
25405 Hancock Ave
Ste 217
Murrieta, CA 92562
Phone (951) 200-2090
15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000
15611 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000
36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- patrick.moore@3567.securemail.prognocis.com
- fmillwee182041@direct.llu.edu
Organizations & group practices 3
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.
-
- Surgery Physician
- Murrieta, CA
- NPI 1265764716
-
- Surgery Physician
- Murrieta, CA
- NPI 1811454150
-
- Ambulatory Surgical Clinic/Center
- Riverside, CA
- NPI 1447194030
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Temecula Valley Hospital
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
-
dba Southwest Healthcare - Inland Valley Hospital
- General Acute Care Hospital
- Murrieta, CA
- NPI 1245221050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501545600000",
"number": "1194784025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29910 MURRIETA HOT SPRINGS ROAD",
"address_2": "SUITE G345",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925633814",
"telephone_number": "951-566-9370",
"fax_number": "951-200-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28078 BAXTER RD",
"address_2": "SUITE 420",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925631402",
"telephone_number": "951-566-9370",
"fax_number": "951-200-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "PATRICK",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2017-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00032619",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "C53431",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LICENSE",
"identifier": "C53431",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.