Michael G Moor, CPO, LPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

PS00000467 Issued in WA

Practice address

25925 Barton Rd Unit 36
Loma Linda, CA 92354-5601

Phone

(503) 367-3848

NPI assigned

Feb 26, 2007

Last updated

Jul 29, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1396871174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923540036",
            "telephone_number": "503-367-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25925 BARTON RD UNIT 36",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923545601",
            "telephone_number": "503-367-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOR",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "CPO, LPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WA",
            "license": "OI00000461",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WA",
            "license": "PS00000467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027853",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  PAR, PPP, PC",
            "identifier": "874024000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PC65, FC65, PPO",
            "identifier": "387074301",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Ann Monti, MSN, FNP
• James Moon, M.D.
• Jin Hyun Moon, MD
• Judy Moon, M.D.
• Caroline Mooney, PA-C
• Ryan Douglas Mooradian, M.D.
• Erin Leslie Moorcones, MSN, CPNP,CNS
• Monica Lynn Moore-Lane, MSW
• Monique Yvette Moore, PHARMD
• Ronald Moore, DDS

• Prosthetist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Prosthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.