Jennifer Nishkian Moore, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

19486 Issued in CA

Practice address

13095 Jamboree Rd
Tustin, CA 92782-9150

Phone

(714) 838-8254

Fax

(714) 838-9463

NPI assigned

Dec 26, 2007

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oneil Enterprises IncGroup PAC ID 9638506686, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.31 of 100Reported as group

Quality

83.88

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10665844
• Direct secure messaging: jennifermoore@cem.allscriptsdirect.net

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.

• Oneil Enterprises Inc

  • Urgent Care Clinic/Center
  • Lakewood, CA
  • NPI 1184186629
  Medicare reassignment Care Compare group
• Cep America - California

  • Emergency Medicine Physician
  • Santa Ana, CA
  • NPI 1548667843
  Medicare reassignment
• Southern California Emergency Medical Group

  • Emergency Medicine Physician
  • San Pedro, CA
  • NPI 1518588433
  Medicare reassignment
• Stephen R Shea, M.D., Inc

  • Emergency Medicine Physician
  • San Pedro, CA
  • NPI 1942239033
  Medicare reassignment
• Cep America-California

  • Emergency Medicine Physician
  • Los Alamitos, CA
  • NPI 1497430870
  NPD
• Continuem

  • Urgent Care Clinic/Center
  • Lakewood, CA
  • NPI 1336716489
  NPD

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1801070933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13095 JAMBOREE RD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927829150",
            "telephone_number": "714-838-8254",
            "fax_number": "714-838-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13095 JAMBOREE RD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927829150",
            "telephone_number": "714-838-8254",
            "fax_number": "714-838-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JENNIFER",
        "middle_name": "NISHKIAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "19486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney C Montanez, AMFT
• Cecilia Ivette Montejo, B.A
• Tanya Marie Montgomery, MFTI
• Elizabeth A Moore, MFT
• Faith Moore
• Lauren Moore, MFTI
• Marie Moore, MA, MFTI
• Steven J Moore, D.D.S.
• Restee Gelonga Mopia, PHARMD
• Vanessa Z Morales

• Physician Assistant in Tustin, CA
• Providers in Tustin, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.