Kavaree Leslie Moore

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1020 Serpentine LN Suite 102
1670 Chianti Way
Oakley, CA 94561

Phone

(408) 457-4182

NPI assigned

Aug 11, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1467337121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 CHIANTI WAY",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945612232",
            "telephone_number": "510-926-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SERPENTINE LN SUITE 102",
            "address_2": "1670 CHIANTI WAY",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "94561",
            "telephone_number": "408-457-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KAVAREE",
        "middle_name": "LESLIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mendly Registered Nursing Group, PC
• Andrew Mery, DNP, AGNP-C
• MMM Bay Area Transportation
• Chelsea Marie Montes
• Michelle Marie Montoya, AMFT
• Jimena Guadalupe Morales Garcia
• Marilyn Adriana Moreno
• Tracey Morse
• Mountainside Mobile Physical Therapy Inc
• MRM Care Solutions Inc.

• Peer Specialist in Oakley, CA
• Providers in Oakley, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.