Michael Moore

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G70269 Issued in CA

Practice address

7225 Rainbow Drive
San Jose, CA 95129-4552

Phone

(408) 739-6000

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1710068507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 RAINBOW DRIVE",
            "address_2": "MEDICAL STAFF",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951290000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 RAINBOW DRIVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294552",
            "telephone_number": "408-739-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G70269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Lynn Moore, MA, LMFT
• Haim Gal Moore, MD, MMSC
• Kendall Moore
• Kimberly Reiko Moore, MPT
• Livleen Moore
• Patricia Ann Ash Moore, LCSW-C
• Shannon Croft Moore, AMFT
• Sheyna A Moore
• Lori Riggio Moorhead, PH.D.
• Kavitha Moorthy, DDS

• Pediatrics Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.