Tyler Jourdan Moore, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

741814 Issued in CA

Practice address

1560 Capalina Rd
San Marcos, CA 92069-1288

Phone

(760) 891-4435

NPI assigned

Jun 13, 2025

Last updated

Jun 13, 2025By 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

Other names 1

• Tyler Jourdan Moore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1659267961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38241 AUGUSTA DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635808",
            "telephone_number": "951-438-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 CAPALINA RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691288",
            "telephone_number": "760-891-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TYLER",
        "middle_name": "JOURDAN",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "741814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYLER",
            "last_name": "MOORE",
            "middle_name": "JOURDAN",
            "credential": "LVN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ashley Moore
• Breanna Lynn Kimble Moore, PT, DPT
• Jensen Moore, DC
• Melisa Moore
• Robert Stephen Moore, RPH
• Shona Isabell Mora
• Melissa Jaynes Morais Parr
• Antonio Morales Leyva
• Melinda Morales
• Olivia Morales

• Licensed Vocational Nurse in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.