Individual provider Active NPI

Jessica Anne Lopez-Moore, PAC

  • Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1366623407
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 19378 Issued in CA
Practice address
8501 Brimhall Rd BLDG 100
Bakersfield, CA 93312-2327
Phone
(661) 370-0777
Fax
(661) 654-8366
NPI assigned
Nov 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 19378 CA Primary

Addresses

Primary practice location

8501 Brimhall Rd BLDG 100
Bakersfield, CA 93312-2327

Mailing address

8501 Brimhall Rd BLDG 100
Bakersfield, CA 93312-2327
Phone (661) 370-0777

Other identifiers 1

IdentifierTypeStateIssuer
1079471OtherCAPA-CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 19378CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Onyinye Okezie MD Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1366623407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 BRIMHALL RD BLDG 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122327",
            "telephone_number": "661-370-0777",
            "fax_number": "661-654-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 BRIMHALL RD BLDG 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122327",
            "telephone_number": "661-370-0777",
            "fax_number": "661-654-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-MOORE",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 19378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA-CERTIFICATION",
            "identifier": "1079471",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.