Melita N. Moore,MD Inc.

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

A108599 Issued in CA

Legal business name

MELITA N. MOORE,MD INC.

Practice address

2825 J St
Suite 440
Sacramento, CA 95816-4300

Phone

(916) 492-2110

Fax

(916) 492-2111

NPI assigned

Sep 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Melita N Moore, MD

Title

Ceo

Phone

(916) 492-2110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1386952562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 J ST",
            "address_2": "SUITE 440",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164300",
            "telephone_number": "916-492-2110",
            "fax_number": "916-492-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 J ST",
            "address_2": "SUITE 440",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164300",
            "telephone_number": "916-492-2110",
            "fax_number": "916-492-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELITA N. MOORE,MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MELITA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-492-2110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "A108599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph L Melendres, M.D.
• Sujey Melero
• Ivonne Judith Melgar, LCSW
• Martin Melicharek III, MD
• Bernadette Melick
• Diana T Melko, LCSW
• Arusyak Melkumyan
• Jeffrey A Mello, PAC
• Joy Mello
• Melissa Mello

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.