Individual provider Active NPI

Lisa C. Moore, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Beverly Hills, CA
National Provider Identifier
1386801710
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A71398 Issued in CA
Practice address
250 N Robertson Blvd Ste 606
Beverly Hills, CA 90211-1793
Phone
(310) 423-0550
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A71398 CA Primary

Addresses

Primary practice location

250 N Robertson Blvd Ste 606
Beverly Hills, CA 90211-1793

Mailing address

1301 20TH Street
Ste 100
Santa Monica, CA 90404-2208
Phone (310) 829-4528

Other practice location 1

1301 20th St
Ste 100
Santa Monica, CA 90404-2050
Phone (310) 829-4528

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041027000972 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 1557322195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Texas Medical School at Houston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

250 N Robertson Blvd
Suite 606
Beverly Hills, CA 90211-1793
Phone (310) 385-3228

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A71398CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 17, 2021 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 17, 2021 Accepting new patients
Pih Health Physicians CurrentSince Feb 27, 2020 Accepting new patients
Pih Health Physicians CurrentSince Feb 27, 2020 Accepting new patients
Lisa C Moore MD Inc Endocrinology, Diabetes & Metabolism Current Accepting new patients
Pih Health Physicians Current Accepting new patients
Providence Saint John's Health Center Past Accepting new patients

Locations

250 N Robertson Blvd
Ste 606
Beverly Hills, CA 90211
Phone (310) 385-2940

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

12400 Bloomfield Ave
Santa Fe Springs, CA 90670
Phone (562) 789-5434

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Interoperability endpoints

  • Direct secure messaging: lmoore242853@direct.cshs.org

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1386801710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 20TH STREET",
            "address_2": "STE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042208",
            "telephone_number": "310-829-4528",
            "fax_number": "310-453-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD STE 606",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111793",
            "telephone_number": "310-423-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 20th St",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042050",
            "country_code": "US",
            "telephone_number": "310-829-4528",
            "fax_number": "310-453-2161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LISA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A71398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.