Pat Moore Foundation

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300136JN Issued in CA

Legal business name

PAT MOORE FOUNDATION

Practice address

2568 Newport Blvd
Costa Mesa, CA 92627-1331

Phone

(714) 546-2200

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Thomas P. Allen

Title

Ceo

Phone

(714) 546-2200

Specialties & licenses 1

Addresses

Tax ID family

Pat Moore Foundation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pat Moore Foundation

  • Substance Abuse Rehabilitation Facility
  • Santa Ana, CA
  • NPI 1477546646
  NPD tax ID

Locations

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1225227994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568 NEWPORT BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271331",
            "telephone_number": "714-546-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2568 NEWPORT BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271331",
            "telephone_number": "714-546-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAT MOORE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-546-2200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300136JN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth (Libby) Ann Partain, PT,MS,PCS
• Partnership for Education & Professional Development
• Passion for Healing Medical Group
• Pat Moore Detox, LLC
• Pat Moore Detox, LLC
• Ankit Patel, RN
• Damini Patel, RN
• Dilip R Patel, MD
• Manushi Naresh Patel
• Shaina Raman Patel, MD

• Substance Abuse Rehabilitation Facility in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.