NANCY C MOORE (NPI# 1538361464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538361464 |
| Entity Type | Individual |
| Full Name | NANCY C MOORE |
| Credential | DO |
| Practice Address |
850 E Foothill Blvd Rialto CA 92376-5230 |
| Practice Telephone | 8854228029 |
| Practice Fax Number | 9095806138 |
| Mailing Telephone | 8854228029 |
| Mailing Fax Number | 9095806138 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2018-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 20A11096 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | DO00628 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROUP MEDICAL | GR0100430 | 01 |
| CA | GROUP MEDICARE | W18762 | 01 |
| RI | NM71540 | 05 | |
| CA | GROUP NPI | 1902846306 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184194078 | Nancy C Moore | Counselor | 1432 E. 7th Street, Charlotte, NC 28204-3340 | 2018-12-04 |
| 1225560543 | Nancy Maria Moore | Home Health Aide | 209 Rocky Run Rd, Fredericksburg, VA 22406-5413 | 2017-03-28 |
| 1194066225 | Nancy T Moore | Registered Nurse | 400 Glenwood St, Greenwood, SC 29649-1523 | 2013-03-14 |
| 1407051535 | Nancy Elizabeth Moore | Social Worker | 2300 Lake Park Dr, Suite 100, Atlanta, GA 30080 | 2007-06-19 |
| 1417073149 | Nancy L Moore | Social Worker | 1613 Norcol Ln, Cincinnati, OH 45231-5224 | 2007-03-22 |
| 1902946791 | Nancy L Moore | Day Training/Habilitation Specialist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2007-02-08 |
| 1639180714 | Nancy C Moore | Physical Therapist | 200 Srpings Rd, Bedford, MA 01730 | 2006-08-11 |
| 1780293845 | Nancy Kay Moore | Counselor | 118 Avenue C, Cloquet, MN 55720-1546 | 2020-07-24 |
| 1699134346 | Nancy Beatrice Moore | Nurse Practitioner | 4901 Forest Park Ave, Ste 341, Saint Louis, MO 63108-1495 | 2016-02-22 |
| 1902159874 | Nancy Marie Moore | Dietitian, Registered | 1210 S Cedar Crest Blvd, Ste 2400, Allentown, PA 18103-6229 | 2012-10-17 |
| Street Address |
850 E FOOTHILL BLVD |
| City | RIALTO |
| State | CA |
| Zip Code | 92376-5230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366420317 | Calvin Flowers, Md, Inc. | Psychiatry & Neurology | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2006-01-09 |
| 1306461314 | Danny Contreras | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2020-06-15 |
| 1568087674 | David Lindstrom | Registered Nurse | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2020-06-15 |
| 1932724721 | Sintia Michelle Diaz | Peer Specialist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2020-06-08 |
| 1184245557 | Alma Delia Gonzalez | Marriage & Family Therapist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2020-04-27 |
| 1649801044 | Vera Prado Perry | Counselor | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2020-02-04 |
| 1083245567 | Michelle Ellis | Case Manager/Care Coordinator | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2020-02-03 |
| 1396375143 | Lisa Nicole Ramos | Case Manager/Care Coordinator | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2020-01-21 |
| 1215574538 | Diane Valdivia | Case Manager/Care Coordinator | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2019-12-05 |
| 1508402371 | Tisha Jenyo | Licensed Psychiatric Technician | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2019-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141812 | Sochun Operation, Inc. | Assisted Living Facility | 1441 S. Riverside Ave., Rialto, CA 92376 | 2019-02-25 |
| 1487138244 | National Vision Inc | Technician/Technologist | 1175 Renaissance Parkway, Suite 1050, Rialto, CA 92376 | 2018-09-18 |
| 1942780853 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 1205 W Renaissance Pkwy, Suite 240, Rialto, CA 92376 | 2018-08-20 |
| 1114430238 | Li Watkins | Nurse Practitioner | 280 N Riverside Avenue, Rialto, CA 92376 | 2017-11-10 |
| 1346767837 | Imelda Jazmin Ceja Nunez | Behavioral Analyst | 462 E Wilson St, Rialto, CA 92376 | 2017-08-24 |
| 1720505662 | Taylor Sandoval | Behavioral Analyst | 2935 Cardamon St, Rialto, CA 92376 | 2017-08-22 |
| 1427572510 | Danielle Mccree | Physical Therapy Assistant | 1470 N Filmore Ave, Rialto, CA 92376 | 2017-07-31 |
| 1639699952 | Albert Anthony Torres | Specialist/Technologist | 1008 N. Pampas Ave., Rialto, CA 92376 | 2017-06-27 |
| 1124407358 | Miesha Warren | Peer Specialist | 850 East Foothill Bld, Rialto, CA 92376 | 2015-05-20 |
| 1205233483 | Albert Archuleta | Counselor | 1501 Riverside Ave, Rialto, CA 92376 | 2014-12-03 |
| Find all providers in zip 92376 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942510607 | Mehrdad Ghahremani-ghajar | Internal Medicine | 2248 N. Milor Ave, Rialto, CA 92377 | 2010-10-15 |
| 1457420903 | Ravindranath Vishnu Shahane | Internal Medicine | 1734 N Riverside Ave, Suite #2, Rialto, CA 92376-8058 | 2006-11-07 |
| 1417067588 | Yousuf Sadiq | Internal Medicine | 279 West Rialto Avenue, Rialto, CA 92376 | 2006-08-30 |
| 1114998077 | Rogelio Tan Toh | Internal Medicine | 1850 N Riverside Ave, Suite 240, Rialto, CA 92376-8071 | 2006-01-30 |
| 1437437134 | Hiteshi Thakker | Internal Medicine | 1851 N Riverside Ave, Rialto, CA 92376-8069 | 2011-07-28 |
| 1629251350 | Hedyeh M Golshan Md and Associates Inc | Internal Medicine | 1850 N Riverside Ave, Suite 230, Rialto, CA 92376-8071 | 2007-12-17 |
| 1295893162 | Sun Chung Soung | Internal Medicine | 1734 N Riverside Ave, Suite 2, Rialto, CA 92376-8058 | 2006-12-04 |
| 1467479295 | Ikechi Obioma Obiocha | Internal Medicine | 1851 N Riverside Ave, Rialto, CA 92376-8069 | 2006-07-17 |
| 1295778058 | Pinnacle Medical Group, Inc. | Internal Medicine | 1850 N Riverside Ave, Rialto, CA 92376-8071 | 2006-06-13 |
| 1174582688 | Hedyeh Mohajerin Golshan | Internal Medicine | 1850 N Riverside Ave, Suite 230, Rialto, CA 92376-8071 | 2006-03-22 |
| Find all providers in RIALTO | ||||
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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.