Individual provider Active NPI

Maria Cristina Moore, RN

  • Registered Nurse
  • Santa Ana, CA
National Provider Identifier
1669626008
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
632564 Issued in CA
Practice address
550 N Flower St
Santa Ana, CA 92703-2361
Phone
(714) 647-4172
Fax
(714) 647-1865
NPI assigned
Nov 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 632564 CA Primary
General Practice Registered Nurse 163WG0000X 632564 CA

Addresses

Primary practice location

550 N Flower St
Santa Ana, CA 92703-2361

Mailing address

550 N Flower St
Santa Ana, CA 92703-2361
Phone (714) 647-4172

Other names 1

  • Mrs. Ma Cristina Moore Other name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
632564CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1669626008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N FLOWER ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927032361",
            "telephone_number": "714-647-4172",
            "fax_number": "714-647-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N FLOWER ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927032361",
            "telephone_number": "714-647-4172",
            "fax_number": "714-647-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARIA",
        "middle_name": "CRISTINA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "632564",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "632564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA",
            "last_name": "MOORE",
            "middle_name": "CRISTINA",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.