Active NPI
Meghan Emily Moore, PA
- Physician Assistant
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA19797
- Practice address
- 525 Broadway
Suite 1101
Santa Monica, CA 90401-2478 - Phone
- (310) 500-2045
- Fax
- (323) 305-7149
- NPI assigned
- Jun 14, 2006
- Last updated
- May 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 00346 | RI | |
| Physician Assistant | 363A00000X | 012972 | NY | |
| Physician Assistant | 363A00000X | PA19797 | CA | Primary |
Addresses
Primary practice location
525 Broadway
Suite 1101
Santa Monica, CA 90401-2478
Mailing address
525 Broadway
Suite 1101
Santa Monica, CA 90401-2478
Phone (310) 500-2045
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10000 Washington Blvd
Suite 108
Culver City, CA 90232-2782
Phone (888) 663-6331
525 Broadway
Suite 1101
Santa Monica, CA 90401-2971
Phone (310) 500-2045
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 96.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012972 | NY | MD | Speech-Language Pathologist |
| PA19797 | CA | MD | Physician Assistant |
| PA 00346 | RI | MD | Physician Assistant |
| 19797 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Saint John's Health Center | Past | Accepting new patients | |
| Pathology Consultants of New London, P.C. | Past | Accepting new patients | |
| One Medical Group, Inc. | Past | Accepting new patients | |
| LMW Healthcare Inc. | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 6
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.
-
dba One Medical
- Family Medicine Physician
- Beverly Hills, CA
- NPI 1760130413
-
dba Saint John's Physician Partners
- Specialist
- Santa Monica, CA
- NPI 1770093734
-
dba One Medical Group
- Family Medicine Physician
- San Francisco, CA
- NPI 1417382102
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
-
dba Westerly Hospital
- General Acute Care Hospital
- Westerly, RI
- NPI 1447595368
Physician Assistant
-
- Anatomic Pathology & Clinical Pathology Physician
- New London, CT
- NPI 1184655706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1295778504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 BROADWAY",
"address_2": "SUITE 1101",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012478",
"telephone_number": "310-500-2045",
"fax_number": "323-305-7149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 BROADWAY",
"address_2": "SUITE 1101",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012478",
"telephone_number": "310-500-2045",
"fax_number": "323-305-7149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MEGHAN",
"middle_name": "EMILY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA 00346",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "012972",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA19797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.