DR. JOHN MOORE III (NPI# 1487125480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487125480 |
| Entity Type | Individual |
| Full Name | DR. JOHN MOORE III |
| Credential | PHD |
| Practice Address |
1000 Broadway Ste 460 Oakland CA 94607-4033 |
| Practice Telephone | 5105061719 |
| Practice Fax Number | 5104655520 |
| Mailing Telephone | 5105061719 |
| Mailing Fax Number | 5104655520 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
29285 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851841449 | John Douglas Moore | Military Health Care Provider | 1004 Hermitage Rd Bldg 1014, Virginia Beach, VA 23459-9100 | 2016-10-07 |
| 1790146595 | John Parker Moore | Counselor | 1770 Shiloh Springs Rd., Dayton, OH 45426 | 2016-03-08 |
| 1861815243 | John Steven Moore | Preventive Medicine | 13149 Hill Rd, College Station, TX 77845-9271 | 2014-01-21 |
| 1609218379 | John Easter Moore Jr. | Social Worker | 2032 Sheffield Rd, Oklahoma City, OK 73120-4926 | 2013-07-23 |
| 1972841781 | John A. Moore | Dentist | 113 N. Winter St., Midway, KY 40347-0761 | 2013-01-29 |
| 1487915799 | John S Moore | Registered Nurse | 26300 Ford Rd # 160, Dearborn Heights, MI 48127-2854 | 2012-06-04 |
| 1295028314 | John Robert Moore | Behavioral Analyst | 815 24th St Sw, Vero Beach, FL 32962 | 2011-05-23 |
| 1205130176 | John Robert Moore | Family Medicine | 9715 Hurlbut Rd, Remsen, NY 13438-4621 | 2011-01-06 |
| 1548462385 | John William Moore IIi | Internal Medicine | 2643 Patterson Rd Ste 605, Grand Junction, CO 81506-1937 | 2007-06-04 |
| 1962612317 | John D Moore | Hearing Instrument Specialist | 7050 W Palmetto Park Rd Ste 20, Boca Raton, FL 33433-3462 | 2007-05-23 |
| Street Address |
1000 BROADWAY STE 460 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94607-4033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427326362 | Cristin Michelle Mahaffey | Counselor | 1000 Broadway Ste 460, Oakland, CA 94607-4033 | 2011-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
| 1992303226 | Sonia Maria Sui Ying Poon Harris | Pharmacist | 388 9th Street Ste 108, Oakland, CA 94607 | 2020-10-09 |
| 1962029595 | Yuan Yan | Student in an Organized Health Care Education/Training Program | 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 | 2020-06-30 |
| 1093339962 | Alameda County Probation Department | Case Manager/Care Coordinator | 1111 Jackson St., Oakland, CA 94607 | 2020-06-05 |
| 1053947812 | Deanna Karraa | Registered Nurse | 1111 Jackson 6th Floor, Oakland, CA 94607 | 2020-03-12 |
| 1952942575 | Roots Community Health Center | Family Medicine | 583 5th St Ste A, Oakland, CA 94607 | 2019-10-04 |
| 1568927994 | Lynsey Scott | Counselor | Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 | 2019-02-11 |
| 1366930182 | Options Recovery Services | Community/Behavioral Health | 614 Alice St, Oakland, CA 94607 | 2018-04-26 |
| 1255845640 | Adrienne My-tram Nguyen, Dds - Inc | Dentist | 475 8th Street, Oakland, CA 94607 | 2017-11-22 |
| 1912422528 | Maria H Cho | Registered Nurse | 2511 Market St, Oakland, CA 94607 | 2017-08-04 |
| Find all providers in zip 94607 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285813493 | Claire Ellen Craig | Psychologist | 10901 Macarthur Blvd, 202, Oakland, CA 94605-5200 | 2007-10-24 |
| 1952469173 | Nina Rudnick | Psychologist | 738 Alcatraz Ave, #1, Oakland, CA 94609-1040 | 2006-12-04 |
| 1124673173 | Shareef Nashid Salaam | Psychologist | 747 52nd St, Oakland, CA 94609-1809 | 2019-08-06 |
| 1386208569 | Thao-chau T Trinh | Psychologist | 444 Hegenberger Rd, Oakland, CA 94621-1418 | 2019-04-24 |
| 1942564133 | Judith Wan | Psychologist | 3301 E 12th St Ste 259, Oakland, CA 94601-2940 | 2012-07-02 |
| 1326301227 | Herminia Hernandez | Psychologist | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2012-06-17 |
| 1023339157 | James De Quinto | Psychologist | 5236 Claremont Ave Fl 2, Oakland, CA 94618-1033 | 2010-06-11 |
| 1841423332 | Melanie R Clemons | Psychologist | 470 27th St, Bawar, Oakland, CA 94612-2413 | 2009-08-31 |
| 1801029624 | Wei Ki Elsie Chan | Psychologist | 747 52nd St, Oakland, CA 94609-1809 | 2009-08-27 |
| 1639355613 | Debbara J Monroe | Psychologist | 505 14th St, Suite 900, Oakland, CA 94612-1406 | 2008-01-21 |
| Find all providers in OAKLAND | ||||
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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.