Jason D Moore

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

JASON D MOORE

Doing business as

Coast Family Acupuncture

Practice address

510 Cypress St Ste C200
Fort Bragg, CA 95437-5411

Phone

(707) 964-1111

Fax

(707) 345-1290

NPI assigned

Oct 10, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jason David Moore, LAC

Title

Owner

Phone

(707) 964-1111

Specialties & licenses 1

Addresses

Other names 1

• Coast Family Acupuncture Doing business as

Locations

Practitioners 2

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

• Andrea Lynn Shafir, L.AC.

  • Acupuncturist
  • Fort Bragg, CA
  • NPI 1912157264
  NPD (past)
• Michael Joshua Volk, L.AC.

  • Acupuncturist
  • San Mateo, CA
  • NPI 1275707788
  NPD (past)

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1962977595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 CYPRESS ST STE C200",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375411",
            "telephone_number": "707-964-1111",
            "fax_number": "707-345-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CYPRESS ST STE C200",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375411",
            "telephone_number": "707-964-1111",
            "fax_number": "707-345-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON D MOORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-964-1111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coast Family Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Huckleberry Transportation, LLC
• Integrated Care Management Solutions
• Mei Lin M Jackson
• Linda K James, M.D.
• Ann Kathleen Jamgochian, FNP
• Richard William Jaulus, LCSW
• Charles C Jenkins, MD
• John a. Kermen, D.O.
• Marty Christine Johnson, L.M.F.T. CA.
• Georgina Jones, RPT

• Acupuncturist in Fort Bragg, CA
• Providers in Fort Bragg, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.