Active NPI
Annette Iola Hollingsworth-Moore, MD
- Obstetrics & Gynecology Physician
- Apple Valley, CA
National Provider Identifier
1689827404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A105398
- Practice address
- 18523 Corwin Rd Ste E
Apple Valley, CA 92307-2300 - Phone
- (760) 813-3699
- Fax
- (760) 459-0254
- NPI assigned
- Oct 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | A105398 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | A105398 | CA | Primary |
Addresses
Primary practice location
18523 Corwin Rd Ste E
Apple Valley, CA 92307-2300
Mailing address
18523 Corwin Rd Ste E
Apple Valley, CA 92307-2300
Phone (760) 813-3699
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A105398 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anaya Womens OBGYN Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Primecare Medical Group | Past | Accepting new patients |
Locations
18523 Corwin Rd
Ste E
Apple Valley, CA 92307
Phone (760) 242-1222
18056 Wika Rd
Ste B
Apple Valley, CA 92307
Phone (760) 242-2223
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://api.platform.athenahealth.com/22125/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Apple Valley, CA
- NPI 1659982130
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1093720427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1689827404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18523 CORWIN RD STE E",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072300",
"telephone_number": "760-813-3699",
"fax_number": "760-459-0254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18523 CORWIN RD STE E",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072300",
"telephone_number": "760-813-3699",
"fax_number": "760-459-0254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLINGSWORTH-MOORE",
"first_name": "ANNETTE",
"middle_name": "IOLA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-23",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "A105398",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A105398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.