Marcellus H. Moore, M.D., Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C51387 Issued in CA

Legal business name

MARCELLUS H. MOORE, M.D., INC.

Practice address

81225 Kingston Heath
La Quinta, CA 92253-8741

Phone

(213) 427-1148

Fax

(213) 427-1149

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Marcellus H. Moore, M.D.NPI 1275558371

Title

President

Phone

(213) 427-1148

Specialties & licenses 1

Addresses

Practitioners 1

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

• Marcellus H. Moore, M.D.

  • Ophthalmology Physician
  • La Quinta, CA
  • NPI 1275558371
  NPD (past) Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831242221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81225 KINGSTON HEATH",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538741",
            "telephone_number": "213-427-1148",
            "fax_number": "213-427-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81225 KINGSTON HEATH",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538741",
            "telephone_number": "213-427-1148",
            "fax_number": "213-427-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELLUS H. MOORE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARCELLUS",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-427-1148",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C51387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Malagar
• Blanca Salome Maldonado, LMFT
• Regina Marie Malloy, PT
• Cynthia Mangan, RN
• James S Manion, M.D.
• Robert A Marquez, LCSW
• Alexa Brielle Marr
• Martin Sahakyan MD, a Professional Medical Corporation
• Anthony Renee Martinez
• Eugene Joseph Martinez

• Ophthalmology Physician in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.