Richard Michael Moore MD Apc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A123130 Issued in CA

Legal business name

RICHARD MICHAEL MOORE MD APC

Practice address

11550 Indian Hills Rd Ste 310
Mission Hills, CA 91345-1203

Phone

(818) 898-4900

NPI assigned

Jul 17, 2016

Organization subpart

No

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

Authorized official

Name

Richard Michael Moore, MDNPI 1023241015

Title

President

Phone

(818) 898-4900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Moore, MD

  • Surgery Physician
  • Orange, CA
  • NPI 1023241015
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1468713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1780037515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD STE 310",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451203",
            "telephone_number": "818-898-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD STE 310",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451203",
            "telephone_number": "818-898-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD MICHAEL MOORE MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-17",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-898-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A123130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.