RANDALL B MOORE (NPI# 1205927274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205927274 |
| Entity Type | Individual |
| Full Name | RANDALL B MOORE |
| Credential | MD |
| Practice Address |
3791 Katella Ave #201 Los Alamitos CA 90720 |
| Practice Telephone | 5625966736 |
| Practice Fax Number | 5625965387 |
| Mailing Telephone | 5625966736 |
| Mailing Fax Number | 5625965387 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | C27697 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C276970 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457421877 | Randall B. Moore | Chiropractor | 260 S 112th St, Lafayette, CO 80026-9031 | 2006-11-09 |
| 1740368067 | Randall Alan Moore | Pharmacist | The Nebraska Medical Center Clinic Pharmacy, 989200 Nebraska Medical Center, Omaha, NE 68198-9200 | 2006-11-02 |
| 1992780597 | Randall Jay Moore | Preventive Medicine | 366mdg/sgpf, 90 Hope Drive; Bldg 6000, Mountain Home Afb, ID 83648 | 2005-12-07 |
| 1790245496 | Randall Edward Moore | Registered Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2019-03-20 |
| 1013386945 | Randall Moore | Dentist | 141 Milbank Ave, Greenwich, CT 06830-6616 | 2015-09-22 |
| 1376721621 | Randall James Moore | Pharmacist | 4405 Vandever Ave, 1st Fl Pharmacy, San Diego, CA 92120-3315 | 2008-02-07 |
| 1598894073 | Randall Chris Moore | Physical Therapist | 500 London Ave, Marysville, OH 43040-5512 | 2007-03-02 |
| 1669537304 | Randall R Moore | Pharmacist | 720 16th Ave, Lewiston, ID 83501-3768 | 2006-12-22 |
| 1841351285 | Randall Moore | Family Medicine | 6760 Mission Rd, Everson, WA 98247-9749 | 2006-12-12 |
| 1245291228 | Randall F. Moore | Psychiatry & Neurology | 2401 S 31st St, Temple, TX 76508-0001 | 2006-03-30 |
| Street Address |
3791 KATELLA AVE #201 |
| City | LOS ALAMITOS |
| State | CA |
| Zip Code | 90720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710975602 | Anna Ho | Physician Assistant | 3791 Katella Ave, Suite 201, Los Alamitos, CA 90720-3105 | 2005-10-13 |
| 1710320072 | Breana Jean Wheeler | Nurse Practitioner | 3791 Katella Ave, Suite 210, Los Alamitos, CA 90720-3105 | 2013-04-16 |
| 1184960890 | Chinenye Egwuonwu | Nurse Practitioner | 3791 Katella Ave, Ste. 108, Los Alamitos, CA 90720-3105 | 2012-12-27 |
| 1124370937 | Katie Mintz | Physician Assistant | 3791 Katella Ave, Los Alamitos, CA 90720-3105 | 2012-10-04 |
| 1205118312 | Heather Marie Corson | Physician Assistant | 3791 Katella Ave, Suite # 201, Los Alamitos, CA 90720-3105 | 2011-09-14 |
| 1700107091 | Lauren Marie Dolan | Physician Assistant | 3791 Katella Ave, Suite 201, Los Alamitos, CA 90720-3105 | 2010-06-21 |
| 1518063510 | Ruben Baghdassarian | Urology | 3791 Katella Ave, Suite 200, Los Alamitos, CA 90720-3105 | 2006-09-16 |
| 1699871608 | Stuart Alexander Chalfin | Urology | 3791 Katella Ave, Suite 200, Los Alamitos, CA 90720-3105 | 2006-09-16 |
| 1356453088 | Nicolas Dikio Md Inc | Obstetrics & Gynecology | 3791 Katella Ave, Ste 209, Los Alamitos, CA 90720-3105 | 2006-08-31 |
| 1326158635 | Harold M Lin Md A Medical Corporation | Internal Medicine | 3791 Katella Ave, Suite105, Los Alamitos, CA 90720-2000 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152132 | Connie Lee Wax | Social Worker | 5182 Katella, Suite 206, Los Alamitos, CA 90720 | 2019-06-11 |
| 1750891446 | Angela Lynn Hudson | Nurse Practitioner | 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 | 2017-10-06 |
| 1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
| 1821531401 | Added Access Cardiology Inc | Internal Medicine | 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 | 2016-11-30 |
| 1619348091 | Debbie Chen | Marriage & Family Therapist | 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 | 2015-10-12 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1497179253 | Jeffrey J Mccullough | Dentist | 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 | 2014-02-13 |
| 1043634124 | Alamitos Oral Surgery | Dentist | 4582 Katella Avenue, Los Alamitos, CA 90720 | 2014-02-11 |
| 1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
| 1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
| Find all providers in zip 90720 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154862241 | Prohealth Partners A Medical Group | Surgery | 3791 Katella Ave Ste 107, Los Alamitos, CA 90720-2000 | 2017-03-09 |
| 1144455148 | Nathan S Chung Md Inc | Surgery | 3801 Katella Ave Ste 420, Los Alamitos, CA 90720-6903 | 2009-05-19 |
| 1548457807 | Denise Pauline Joseph-brown | Surgery | 5122 Katella Ave Ste 220, Los Alamitos, CA 90720-6836 | 2007-10-01 |
| 1134328859 | Grant G. Sarkisyan | Surgery | 3791 Katella Ave., #201 Vascular & General Surgery Assoc., Los Alamitos, CA 90720 | 2007-07-12 |
| 1679779797 | Ali Fouladi | Surgery | 3801 Katella Ave Ste 402, Los Alamitos, CA 90720-3395 | 2007-06-25 |
| 1710035746 | Dena Amr | Surgery | 3791 Katella Ave. #201, Vascular & General Surgery Assoc, Los Alamitos, CA 90720 | 2007-01-08 |
| 1134237761 | Fritz J Baumgartner | Surgery | 3791 Katella Ave #201, Vascular and General Surgery Assoc, Los Alamitos, CA 90720 | 2006-08-25 |
| 1649676891 | Ali Alex Fouladi Md Inc | Surgery | 3801 Katella Ave, Suite 402, Los Alamitos, CA 90720-3338 | 2014-11-17 |
| 1952675068 | Lester Asch Md Inc | Surgery | 3801 Katella Ave, Suite 212, Los Alamitos, CA 90720-3338 | 2012-03-07 |
| 1609143775 | Jessica A. Rayhanabad, M.d. Inc | Surgery | 3951 Katella Ave, Los Alamitos, CA 90720-3303 | 2011-11-17 |
| Find all providers in LOS ALAMITOS | ||||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.