Active NPI
Meagan Marie Moore, M.D.
- Specialist
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A68586
- Practice address
- 9900 Talbert Ave Ste 202
Fountain Valley, CA 92708-5153 - Phone
- (714) 378-5552
- Fax
- (714) 378-5541
- NPI assigned
- Mar 1, 2007
- Last updated
- Mar 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A68586 | CA | Primary |
Addresses
Primary practice location
9900 Talbert Ave Ste 202
Fountain Valley, CA 92708-5153
Mailing address
9900 Talbert Ave Ste 202
Fountain Valley, CA 92708-5153
Phone (714) 378-5552
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090609000604 | CA | Practitioner - Obstetrics/Gynecology | 3375693559 | Practice locations: Fountain Valley, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Warren Alpert Medical School of Brown University, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9900 Talbert Ave
Fountain Valley, CA 92708-5153
Phone (714) 378-5552
Hospital & facility affiliations
- Memorialcare Orange Coast Medical Center
- Memorialcare Long Beach Medical Center
- Hoag Memorial Hospital Presbyterian
- Uci Health-Orange
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A68586 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caroline Conner MD, Inc | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mmooremd16280@direct.memorialcare.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Fountain Valley, CA
- NPI 1124351788
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393804800000",
"number": "1447388244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 TALBERT AVE STE 202",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085153",
"telephone_number": "714-378-5552",
"fax_number": "714-378-5541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 TALBERT AVE STE 202",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085153",
"telephone_number": "714-378-5552",
"fax_number": "714-378-5541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MEAGAN",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2014-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A68586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.