Chaz J Moore, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

13555 Bowman Rd Ste 100
Auburn, CA 95603-3197

Phone

(530) 885-3951

NPI assigned

Sep 15, 2021

Last updated

Sep 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA, UT2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gadzoom Health LLCGroup PAC ID 3476954793, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chaz.moore.1@20544.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/8214/brand/1/csg/1/fhir/r4

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.

• Gadzoom Health LLC

  • Family Medicine Physician
  • Lehi, UT
  • NPI 1770187163
  Medicare reassignment Care Compare group
• Vista Complete Care, Inc.

  • Family Medicine Physician
  • Auburn, CA
  • NPI 1851603278
  Medicare reassignment NPD

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1588334080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 BOWMAN RD STE 100",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956033197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 BOWMAN RD STE 100",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956033197",
            "telephone_number": "530-885-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHAZ",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://athenanet.athenahealth.com/",
            "affiliation": "N",
            "address_1": "13555 Bowman Rd Ste 100",
            "city": "Auburn",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956033197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charmaine Lesley Moller, BACHELOR OF PHARMACY
• Nancy Juanita Monroe
• Jessica Mont-Eton, RADT
• Mary E Montaldo, PH.D.
• Chandell Moore, RN,PHN,BSN
• Lisa C. Moore, DC
• Norma Moore
• Shane M Moore, MPSS-DSNBAR
• Theodore Craig Moore, PT
• Laura Moorehead, LMT

• Physician Assistant in Auburn, CA
• Providers in Auburn, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.

Verify at the official NPI Registry.