Individual provider Active NPI

Lori Darlene Moore, M.D.

  • Ophthalmology Physician
  • Arcadia, CA
National Provider Identifier
1972510196
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G57630 Issued in CA
Practice address
7 W Foothill Blvd
Suite 3
Arcadia, CA 91006-2367
Phone
(626) 357-2020
Fax
(626) 357-9020
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G57630 CA Primary

Addresses

Primary practice location

7 W Foothill Blvd
Suite 3
Arcadia, CA 91006-2367

Mailing address

7 W Foothill Blvd
Suite 3
Arcadia, CA 91006-2367
Phone (626) 357-2020

Other identifiers 1

IdentifierTypeStateIssuer
00G576300MedicaidCA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101118000801 CA Practitioner - Ophthalmology 0446446322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Francisco School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

288 N Santa Anita Ave
Suite 103
Arcadia, CA 91006-3183
Phone (626) 829-8185

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvision Laser Medical Associates, Inc. Ophthalmology CurrentSince Jul 30, 2011 Accepting new patients
Dignity Community Care Ophthalmology Past Accepting new patients
Barry a. Katzman, M.D., Inc Apc Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Azul Vision Inc. Ophthalmology Past Accepting new patients

Locations

488 E Santa Clara St
Ste 105
Arcadia, CA 91006
Phone (626) 357-2020

7 W Foothill Blvd
Ste 3
Arcadia, CA 91006
Phone (626) 357-2020

4859 W Slauson Ave
Ste 464
Los Angeles, CA 90056

6401 33rd St
Riverside, CA 92509
Phone (909) 681-2200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1972510196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W FOOTHILL BLVD",
            "address_2": "SUITE 3",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062367",
            "telephone_number": "626-357-2020",
            "fax_number": "626-357-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W FOOTHILL BLVD",
            "address_2": "SUITE 3",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062367",
            "telephone_number": "626-357-2020",
            "fax_number": "626-357-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LORI",
        "middle_name": "DARLENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G57630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G576300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.