Individual provider Active NPI

Fiona Moore

  • Physician Assistant
  • San Diego, CA
National Provider Identifier
1588545602
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA66203 Issued in CA
Practice address
2790 Truxtun Rd Ste 100
San Diego, CA 92106-6135
Phone
(619) 610-9790
NPI assigned
Sep 8, 2025
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA66203 CA Primary

Addresses

Primary practice location

2790 Truxtun Rd Ste 100
San Diego, CA 92106-6135

Mailing address

8695 Spectrum Center Blvd
San Diego, CA 92123-1489
Phone (858) 798-9083

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015001760 CA Practitioner - Physician Assistant 3971090762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8695 Spectrum Ctr Blvd
San Diego, CA 92123

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
66203CAMDPharmacist
PA66203CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Focus on Health Inc CurrentSince Oct 1, 2025 Accepting new patients

Locations

2790 Truxtun Rd
Ste 100
San Diego, CA 92106
Phone (619) 610-9790

8695 Spectrum Center Ct
San Diego, CA 92123
Phone (858) 499-3025

Organizations & group practices 1

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 3

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": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1588545602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 SPECTRUM CENTER BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231489",
            "telephone_number": "858-798-9083",
            "fax_number": "760-705-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 TRUXTUN RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066135",
            "telephone_number": "619-610-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "FIONA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.