Victoria Moore, D.C.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

14907 Issued in CA

Practice address

1005 A St
Suite 213
San Rafael, CA 94901-3123

Phone

(415) 482-8700

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1740340074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 TOMAHAWK DR",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601649",
            "telephone_number": "415-482-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 A ST",
            "address_2": "SUITE 213",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013123",
            "telephone_number": "415-482-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "14907",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "14907",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Borelli Moore, MA, MFT
• Janet L. Moore
• Jennifer Kate Moore, CCC SLP
• Makela Moore
• Marian Frances Iris Moore, RN CNM
• Kathleen Marie Moran
• Kaylin Jaie Mordock, P.T.
• Jessica Moreano, CERTIFIED DOULA
• Derneshia Morgan
• Sarah Morgan

• Neurology Chiropractor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Neurology Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.