MEGHAN EMILY MOORE (NPI# 1295778504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295778504 |
| Entity Type | Individual |
| Full Name | MEGHAN EMILY MOORE |
| Credential | PA |
| Practice Address |
525 Broadway Suite 1101 Santa Monica CA 90401-2478 |
| Practice Telephone | 3105002045 |
| Practice Fax Number | 3233057149 |
| Mailing Telephone | 3105002045 |
| Mailing Fax Number | 3233057149 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2016-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA19797 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 012972 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA 00346 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619439452 | Meghan Moore | Specialist/Technologist | 322 Elizabeth St, Findlay, OH 45840-3923 | 2019-04-02 |
| 1346849825 | Meghan Moore | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-26 |
| 1669022109 | Meghan M Moore | Behavior Technician | 80 Washington St Ste P55, Norwell, MA 02061-1742 | 2019-09-17 |
| 1609435676 | Meghan Moore | Dentist | 502 W Randall St, Coopersville, MI 49404-1341 | 2019-06-12 |
| 1255807376 | Meghan Moore | Occupational Therapist | 78 Harvard Ave Ste 220, Stamford, CT 06902-5548 | 2018-10-16 |
| 1215332069 | Meghan Moore | Behavioral Analyst | 251 Airport Rd, Oceanside, CA 92058-1201 | 2014-10-22 |
| 1528485786 | Meghan Moore | Clinical Nurse Specialist | 1 Childrens Plz, Dayton, OH 45404-1873 | 2014-03-26 |
| 1962824870 | Meghan Moore | Physical Therapist | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2014-01-11 |
| 1659611010 | Meghan Moore | Occupational Therapist | 12265 James St, Holland, MI 49424-8613 | 2013-02-22 |
| 1306102397 | Meghan Blevens Moore | Occupational Therapist | 4425 Paulsen St, Savannah, GA 31405-3662 | 2012-04-04 |
| Street Address |
525 BROADWAY SUITE 1101 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90401-2478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499458 | Franchesca Johnson Gordon | Marriage & Family Therapist | 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 | 2018-09-01 |
| 1629564083 | Michelle Jillian Dolinsky | Social Worker | 1243 7th St Ste C, Santa Monica, CA 90401 | 2018-07-09 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1285006023 | Venessa Leeann Roca | Speech-Language Pathologist | 1218 6th Street, Santa Monica, CA 90401 | 2015-10-20 |
| 1720468036 | Stephen J. Kenneally | Marriage & Family Therapist | 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 | 2015-06-02 |
| 1629458070 | Dominique L Robertson | Marriage & Family Therapist | 530 Wilshire, #310, Santa Monica, CA 90401 | 2015-06-01 |
| 1205252673 | Santa Monica Sports Medicine Inc. | Physical Medicine & Rehabilitation | 900 Wilshire Blvd. #410, Santa Monica, CA 90401 | 2014-03-10 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1265713036 | Aleksandr Mailyan | Reflexologist | 201 Wilshire Blvd #101, Santa Monica, CA 90401 | 2011-09-07 |
| Find all providers in zip 90401 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142414 | Emily Christel | Physician Assistant | 2901 16th St, Santa Monica, CA 90405-5828 | 2020-10-20 |
| 1629627864 | Elizabeth Greer Keller | Physician Assistant | 2021 Santa Monica Blvd Ste 440e, Santa Monica, CA 90404-2154 | 2019-09-10 |
| 1134687965 | Tatiana Nemanim | Physician Assistant | 1138 Stanford St, Santa Monica, CA 90403-4714 | 2019-03-11 |
| 1619487394 | Brittany Ann Foster | Physician Assistant | 2607 2nd St Apt 1, Santa Monica, CA 90405-4123 | 2017-10-06 |
| 1487199428 | Joe Edward Oscar Franceschi | Physician Assistant | 1244 Franklin St Apt E, Santa Monica, CA 90404-1634 | 2016-12-29 |
| 1275981086 | Lindsey Whitehead | Physician Assistant | 1411 7th St, Apt 514, Santa Monica, CA 90401-2683 | 2016-06-02 |
| 1265844708 | John Michael Waite | Physician Assistant | 3325 17th St, Santa Monica, CA 90405-5832 | 2014-06-02 |
| 1235475005 | Blossom Dawn Vencer Aguirre | Physician Assistant | 1316 3rd Street Promenade Ste 201, Santa Monica, CA 90401-1382 | 2012-12-21 |
| 1265754337 | Evan E Feinstein | Physician Assistant | 525 Broadway Ste 1101, Santa Monica, CA 90401-2971 | 2010-02-17 |
| 1326209123 | Shirley Kim Fladoos | Physician Assistant | 1033 6th St Apt 302, Santa Monica, CA 90403-3934 | 2008-06-24 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90401 |
Please comment or provide details below to improve the information on MEGHAN EMILY MOORE.
| 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.