Individual provider Active NPI

Tami Renai Moore, MD

  • Emergency Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1447619945
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A143915 Issued in CA
Practice address
1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone
(661) 326-2168
Fax
(510) 504-1044
NPI assigned
Feb 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A143915 CA Primary

Addresses

Primary practice location

1700 Mount Vernon Ave
Bakersfield, CA 93306

Mailing address

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2168

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
I20180724003387 CA Practitioner - Emergency Medicine 8820345648 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Wisconsin, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, shared by 2 NPIs, 1,278 clinicians

Practice addresses (Care Compare)

3901 Lone Tree Way
Antioch, CA 94509-6200
Phone (925) 779-7200

Hospital & facility affiliations

  • Community Hospital of San Bernardino Hospital, San Bernardino, CA, CCN 050089
  • Sutter Delta Medical Center Hospital, Antioch, CA, CCN 050523

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A143915CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-California Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Montclair Emergency Medical Associates Emergency Medicine CurrentSince Apr 27, 2022 Accepting new patients
San Dimas Emergency Medical Associates Inc. Emergency Medicine CurrentSince Nov 1, 2021 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Nov 28, 2023 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Nov 28, 2023 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Emergency Medicine Current Accepting new patients
Cep America - California Emergency Medicine CurrentSince Aug 31, 2022 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Pleasanton Emergency Medical Group Emergency Medicine CurrentSince Apr 17, 2019 Accepting new patients
Corona Regional Emergency Medical Associates Inc Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Chino Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Nov 17, 2021 Accepting new patients

Locations

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1133 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4500

1111 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4018

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1420 N Tracy Blvd
Tracy, CA 95376
Phone (209) 832-6018

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1447619945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064018",
            "telephone_number": "661-326-2168",
            "fax_number": "510-504-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93306",
            "telephone_number": "661-326-2168",
            "fax_number": "510-504-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TAMI",
        "middle_name": "RENAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A143915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.