Individual provider Active NPI

Nancy Ching Moore, DO

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1538361464
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A11096 Issued in CA
Practice address
1520 San Pablo St Ste 1000
Los Angeles, CA 90033-5312
Phone
(323) 442-5100
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A11096 CA Primary
Internal Medicine Physician 207R00000X DO00628 RI

Addresses

Primary practice location

1520 San Pablo St Ste 1000
Los Angeles, CA 90033-5312

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-5100

Other identifiers 4

IdentifierTypeStateIssuer
W18762OtherCAGROUP MEDICARE
NM71540MedicaidRI
1902846306OtherCAGROUP NPI
GR0100430OtherCAGROUP MEDICAL

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
I20101006000946 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2961595327 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians

Practice addresses (Care Compare)

1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444

1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1751 Foothill Blvd
La Canada, CA 91011-2950
Phone (323) 442-9700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A11096CAMDInternal Medicine Physician
11096CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity Healthcare Services PC CurrentSince May 1, 2024 Accepting new patients
County of San Bernardino Current Accepting new patients
Usc Care Medical Group, Inc CurrentSince Dec 1, 2024 Accepting new patients
Vituity Physician Services PC CurrentSince May 1, 2024 Accepting new patients
Usc Care Medical Group, Inc Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients

Locations

125 W Huntington Dr
Bldg B
Arcadia, CA 91007
Phone (626) 281-8288

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

9033 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone (310) 272-1640

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000

1751 Foothill Blvd
La Canada, CA 91011
Phone (323) 442-9700

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1510 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5910

1450 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-6335

1500 San Pablo St
Los Angeles, CA 90033
Phone (323) 443-8500

1520 San Pablo St
Fl 1
Los Angeles, CA 90033
Phone (323) 442-5900

1031 W 34th St
Los Angeles, CA 90089
Phone (213) 740-7711

1520 San Pablo St
Lowr
Los Angeles, CA 90033
Phone (323) 442-7450

830 S Flower St
Los Angeles, CA 90017
Phone (213) 437-1007

1520 San Pablo St
Ste 1000
Los Angeles, CA 90033
Phone (626) 457-5839

1441 Eastlake Ave
Los Angeles, CA 90089
Phone (323) 865-3000

1516 San Pablo St
Los Angeles, CA 90033
Phone (323) 276-3705

1520 San Pablo St
Fl 4
Los Angeles, CA 90033
Phone (323) 442-5849

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

625 S Fair Oaks Ave
Ste 400
Pasadena, CA 91105
Phone (626) 568-1622

850 E Foothill Blvd
Rialto, CA 92376
Phone (909) 421-9200

1499 E Highland Ave
Sn Bernrdno, CA 92404
Phone (855) 422-8029

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1538361464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-442-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SAN PABLO ST STE 1000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335312",
            "telephone_number": "323-442-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NANCY",
        "middle_name": "CHING",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A11096",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "DO00628",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "W18762",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NM71540",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1902846306",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAL",
            "identifier": "GR0100430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.