Joseph Moore, Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

G56323 Issued in VA

Legal business name

JOSEPH MOORE, INC

Practice address

230 Prospect PL Ste 210
Coronado, CA 92118-1980

Phone

(858) 230-7770

Fax

(858) 230-7790

NPI assigned

Oct 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Moore, M.D.

Title

Physician

Phone

(619) 995-8111

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Leigh Devita, DNP

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1750755617
  NPD
• Angela Ngo-Bigge, FNP

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1457999237
  NPD
• David Halpern, NP

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1326553710
  NPD (past)

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1588035968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181320",
            "telephone_number": "619-435-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PROSPECT PL STE 210",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181980",
            "telephone_number": "858-230-7770",
            "fax_number": "858-230-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH MOORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "619-995-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "VA",
            "license": "G56323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Itzel Jimenez, DPT
• Jimmy Wu, DDS, Professional Dental Corporation
• John a Bodnar MD Inc
• John R Pedrotty Jr MD a Prof Corp
• April Mae Johnson
• Karely Juarez
• JW Physical Therapy
• Maha Michelle Kabban-Moses, PH.D.
• Charlene Vimala Kakimoto, M.D.
• Michael Edwin Kalafer, M.D.

• Urgent Care Clinic/Center in Coronado, CA
• Providers in Coronado, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.