Individual provider Active NPI

Aaron Tillman Moore, D.O.

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1598925851
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A21611 Issued in CA
Practice address
3947 Lennane Dr Ste 110
Sacramento, CA 95834-1971
Phone
(916) 283-8280
Fax
(916) 283-8259
NPI assigned
Jun 11, 2008
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 237553 MA
Psychiatry Physician 2084P0800X OP60274000 WA
Psychiatry Physician 2084P0800X 20A21611 CA Primary

Addresses

Primary practice location

3947 Lennane Dr Ste 110
Sacramento, CA 95834-1971

Mailing address

3947 Lennane Dr Ste 110
Sacramento, CA 95834-1971
Phone (916) 283-8280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.81 of 100Reported as group
Quality
86.48
Promoting interoperability
100
Improvement activities
40
Cost
76.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A21611CAMDPsychiatry Physician
237553MAMDPsychiatry Physician
OP60274000WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Community Programs - PSH CurrentSince Dec 10, 2023 Accepting new patients
Turning Point Community Programs CurrentSince Dec 10, 2023 Accepting new patients
Peacehealth Past Accepting new patients

Locations

3947 Lennane Dr
Ste 110
Sacramento, CA 95834
Phone (916) 283-8259

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1598925851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3947 LENNANE DR STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341971",
            "telephone_number": "916-283-8280",
            "fax_number": "916-283-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3947 LENNANE DR STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341971",
            "telephone_number": "916-283-8280",
            "fax_number": "916-283-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AARON",
        "middle_name": "TILLMAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "237553",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "OP60274000",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A21611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.