Organization Active NPI

Patrick Moore MD Inc

  • Surgery Physician
  • Murrieta, CA
National Provider Identifier
1811454150
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PATRICK MOORE MD INC
Practice address
28078 Baxter Rd Ste 420
Murrieta, CA 92563-1404
Phone
(951) 566-9370
NPI assigned
Feb 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Authorized official

Name
Dr. Patrick M Morre, MF
Title
Owner/Ceo
Phone
(951) 970-8794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

28078 Baxter Rd Ste 420
Murrieta, CA 92563-1404

Mailing address

33182 Wolfe St
Temecula, CA 92592-7230
Phone (951) 970-8794

Other identifiers 1

IdentifierTypeStateIssuer
1194784025MedicaidCA

Other names 1

  • Patrick Moore MD INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191108002361 CA Part B Supplier - Clinic/Group Practice 4587906532 Receives reassigned benefits from 1 practitioner
Practice locations: Murrieta, CA; Poway, CA

National Provider Directory

National Provider Directory

Locations

25405 Hancock Ave
Ste 217
Murrieta, CA 92562
Phone (951) 200-2090

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1811454150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33182 WOLFE ST",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925927230",
            "telephone_number": "951-970-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD STE 420",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631404",
            "telephone_number": "951-566-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK MOORE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "MORRE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "951-970-8794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MF"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194784025",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patrick Moore MD INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.