RICHARD JAY MOORE (NPI# 1992753040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992753040 |
| Entity Type | Individual |
| Full Name | RICHARD JAY MOORE |
| Credential | M.D. |
| Practice Address |
63 Bovet Rd # 406 San Mateo CA 94402-3104 |
| Practice Telephone | 6505394224 |
| Practice Fax Number | 6502922149 |
| Mailing Telephone | 6505394224 |
| Mailing Fax Number | 6502922149 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2010-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G63467 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OOG63467O | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518494657 | Richard Moore I | Dentist | 2455 Cypress Village Dr, Benton, LA 71006-9119 | 2017-05-19 |
| 1902206733 | Richard Moore | Counselor | 1701 Walkus Ct, District Heights, MD 20747-1892 | 2014-08-29 |
| 1467722777 | Richard Moore | Internal Medicine | 7642 Forsyth Blvd, Clayton, MO 63105-3404 | 2012-01-03 |
| 1902192503 | Richard Anthony Moore II | Family Medicine | 3708 Mayfair St Ste 100, Durham, NC 27707-6223 | 2011-06-22 |
| 1497049704 | Richard Winfield Moore IIi | Pharmacist | 41800 Washington St Ste 113b, Bermuda Dunes, CA 92203-8153 | 2011-06-03 |
| 1023241015 | Richard Moore | Surgery | 333 City Blvd. West - Suite 705, Orange, CA 92868-3298 | 2009-08-25 |
| 1295966000 | Richard H. Moore I | Preventive Medicine | 123 S Park Dr, Brownwood, TX 76801-5917 | 2009-07-29 |
| 1386890572 | Richard L Moore | Dermatology | 6901 Medical View Lane, Zephyrhills, FL 33542-6648 | 2008-08-07 |
| 1588876247 | Richard Eugene Moore Jr. | Physical Therapist | 4416 Ivy Commons, Charlottesville, VA 22903-7123 | 2007-05-04 |
| 1457481343 | Richard Charles Moore | Family Medicine | 309 East Spruce, Hailey, ID 83333-3530 | 2007-03-07 |
| Street Address |
63 BOVET RD # 406 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538108972 | Cardiac Imaging Consultants Medical Group, Inc. | Nuclear Medicine | 63 Bovet Rd, Suite 424, San Mateo, CA 94402-3104 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
| 1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| Find all providers in zip 94402 | ||||
| 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 |
|---|---|---|---|---|
| 1013472950 | Pradeepa Selvakumar Md Inc, A California Professional Corporation | Internal Medicine | 101 S San Mateo Dr Ste 102, San Mateo, CA 94401-3840 | 2019-02-05 |
| 1093166811 | James Yee | Internal Medicine | 269 Delmar Way, San Mateo, CA 94403-2312 | 2016-06-22 |
| 1902286735 | Diane Oliver | Internal Medicine | 1927 Bridgepointe Pkwy Apt 232, San Mateo, CA 94404-5005 | 2015-06-06 |
| 1285971531 | Kenneth E. Schwartz | Internal Medicine | 511 Virginia Ave, San Mateo, CA 94402-2237 | 2013-01-07 |
| 1801114111 | Mohammed Rami Bailony | Internal Medicine | 3050 S Delaware St Ste 130, San Mateo, CA 94403-2394 | 2010-05-11 |
| 1134364250 | Zahida Khan Maskatia | Internal Medicine | 101 S San Mateo Dr Ste 311, San Mateo, CA 94401 | 2008-12-03 |
| 1881843068 | John Ellsworth Vankirk | Internal Medicine | 235 Amherst Ave, San Mateo, CA 94402-2201 | 2008-09-12 |
| 1790846657 | Dina Sverdlov Md A Professional Corporation | Internal Medicine | 100 S Ellsworth Ave Ste 208, San Mateo, CA 94401-3932 | 2006-12-13 |
| 1194820688 | Gary Alan Pasternak | Internal Medicine | 1670 South Amphlett Blvd., Suite 300, San Mateo, CA 94403 | 2006-09-13 |
| 1831121425 | Amy Sawyer Daniher | Internal Medicine | 34 North San Mateo Drive #1, San Mateo, CA 94401 | 2006-07-06 |
| Find all providers in SAN MATEO | ||||
Please comment or provide details below to improve the information on RICHARD JAY 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.