Active NPI
Sameet Moor, DO
- Dermatology Physician
- Fontana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 23084
- Practice address
- 16888 Baseline Ave
Fontana, CA 92336-2083 - Phone
- (855) 422-8029
- NPI assigned
- Jul 10, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R10992 | TX | |
| Family Medicine Physician | 207Q00000X | R10992 | IA | |
| Family Medicine Physician | 207Q00000X | 23084 | CA | |
| Dermatology Physician | 207N00000X | 23084 | CA | Primary |
Addresses
Primary practice location
16888 Baseline Ave
Fontana, CA 92336-2083
Mailing address
903 W Martin St # Ms 49-2
San Antonio, TX 78207-0903
Phone (210) 358-0572
Other practice location 1
2055 Kimball Ave Ste 101
Waterloo, IA 50702-5047
Phone (319) 272-2112
Other practice location 2
903 W Martin St # MS 49-2
San Antonio, TX 78207-0903
Phone (201) 358-3650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, WA, TX, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16888 Baseline Ave
Fontana, CA 92336-2083
Phone (855) 422-8029
400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1000
903 W Martin St
Ms 49 2
San Antonio, TX 78207-3110
Phone (210) 358-3441
Hospital & facility affiliations
- Arrowhead Regional Medical Center
- University Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 18 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23084 | CA | MD | Dermatology Physician |
| R10992 | IA | MD | Family Medicine Physician |
| R10992 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sound Inpatient Physicians PLLC | Family Medicine | Current | Accepting new patients |
| Vituity Healthcare Services PC | Family Medicine | Current | Accepting new patients |
| Community Medicine Associates | Family Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Family Medicine | Current | Accepting new patients |
| Vituity Physician Services PC | Family Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Family Medicine | Current | Accepting new patients |
| Iowa Physicians Clinic Medical Foundation | Family Medicine | Current | Accepting new patients |
Locations
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1499 E Highland Ave
Sn Bernrdno, CA 92404
Phone (855) 422-8029
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
1825 Logan Ave
Ste 201
Waterloo, IA 50703
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Colton, CA
- NPI 1700642758
-
- Family Medicine Physician
- Fontana, CA
- NPI 1124884176
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1245313329
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Family Medicine
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
Family Medicine
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1508023789
Family Medicine
-
- Internal Medicine Physician
- Bremerton, WA
- NPI 1831366566
Family Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Colton, CA
- NPI 1720158009
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1821011248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779667200000",
"number": "1366964678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 W MARTIN ST # MS 49-2",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782070903",
"telephone_number": "210-358-0572",
"fax_number": "210-358-5940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16888 BASELINE AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923362083",
"telephone_number": "855-422-8029"
}
],
"practiceLocations": [
{
"address_1": "2055 Kimball Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Waterloo",
"state": "IA",
"postal_code": "507025047",
"country_code": "US",
"telephone_number": "319-272-2112",
"fax_number": "319-272-2107",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "903 W Martin St # MS 49-2",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782070903",
"country_code": "US",
"telephone_number": "201-358-3650",
"fax_number": "210-358-3799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOOR",
"first_name": "SAMEET",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-10",
"last_updated": "2026-05-25",
"certification_date": "2026-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "R10992",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "R10992",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "23084",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "23084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.