RODRICK WAYNE MOORE SR. (NPI# 1053970103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053970103 |
| Entity Type | Individual |
| Full Name | RODRICK WAYNE MOORE SR. |
| Credential | CRNA |
| Practice Address |
4060 Whittier Blvd Los Angeles CA 90023-2526 |
| Mailing Address |
1605 Mendocino Way Perris CA 92571-3732 |
| Practice Telephone | 3232685514 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 95001146 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4060 WHITTIER BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90023-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417957473 | Eladh, Lp | Skilled Nursing Facility | 4060 Whittier Blvd, Los Angeles, CA 90023-2526 | 2005-07-29 |
| 1174143473 | Trusted Anesthesia Partners, Inc. | Anesthesiology | 4060 Whittier Blvd, Los Angeles, CA 90023-2526 | 2020-04-16 |
| 1588198055 | East La Emergency Physicians, Inc. | Emergency Medicine | 4060 Whittier Blvd, Los Angeles, CA 90023-2526 | 2017-04-12 |
| 1841608122 | Cbw Anesthesia | Anesthesiology | 4060 Whittier Blvd, Los Angeles, CA 90023-2526 | 2014-07-30 |
| 1225454812 | Chau Minh Le Md Inc | Anesthesiology | 4060 Whittier Blvd, Los Angeles, CA 90023-2526 | 2014-03-06 |
| 1700225927 | Shang-tian Chuang, D.o., Inc. | Pathology | 4060 Whittier Blvd, Los Angeles, CA 90023-2526 | 2013-06-20 |
| 1093008104 | Shang-tian Chuang, D.o. | Pathology | 4060 Whittier Blvd, Department of Pathology, Los Angeles, CA 90023-2526 | 2011-05-23 |
| 1417102583 | Marcos S Canas Medical Corporation | Anesthesiology | 4060 Whittier Blvd, Los Angeles, CA 90023-2526 | 2008-11-17 |
| 1841477973 | East La Doctors Hospital Lp | Skilled Nursing Facility | 4060 Whittier Blvd, Los Angeles, CA 90023-2526 | 2008-01-31 |
| 1245416320 | Schubert Palmer, M.d., Inc. | Specialist | 4060 Whittier Blvd, Los Angeles, CA 90023-2526 | 2008-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470384 | Chan Family Medical Corp | General Practice | 4070 E. Olympic Blvd, Los Angeles, CA 90023 | 2019-07-26 |
| 1275059511 | Jeff Moreno | Psychoanalyst | 550 Vermount Ave, Los Angeles, CA 90023 | 2017-08-18 |
| 1457714297 | Isabel Garcia | Counselor | 4543 Sabina Street, Los Angeles, CA 90023 | 2016-03-30 |
| 1275950115 | Daniel Lemor | Ophthalmology | 4036 Whittier Blvd Ste 202, Los Angeles, CA 90023 | 2014-03-27 |
| 1073951992 | Behavioral Health Services, Inc. | Community/Behavioral Health | 2515 Whittier Blvd., Los Angeles, CA 90023 | 2013-06-13 |
| 1003115312 | H.r.imankhan,dds,inc | Dentist | 3356 E. Olympic Blvd, Los Angeles, CA 90023 | 2011-03-25 |
| 1508006297 | Ricca Tinnin | Physician Assistant | 1200 N State St., Dept E.r., La, CA 90023 | 2009-02-20 |
| 1538366851 | Sun Heung Lui | Counselor | 3421 E. Olympic Blvd., Los Angeles, CA 90023 | 2007-06-29 |
| 1851519623 | Atlantic Recovery Services | Community/Behavioral Health | 3225 Flunter St, Estrada Courts Sea, Los Angeles, CA 90023 | 2007-04-24 |
| 1548486947 | Manasseh C Nwaigwe | General Practice | 1159 S. Lorena St, Los Angeles, CA 90023 | 2007-04-17 |
| Find all providers in zip 90023 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134655616 | Joeann Johnson | Nurse Anesthetist, Certified Registered | 1360 S Figueroa St Apt 405, Los Angeles, CA 90015-2883 | 2017-05-03 |
| 1841678182 | Uriah Bahn | Nurse Anesthetist, Certified Registered | 215 W 7th St, Apt #406, Los Angeles, CA 90014-1839 | 2015-05-06 |
| 1457789398 | Mona Mansoori | Nurse Anesthetist, Certified Registered | 640 N La Jolla Ave, Los Angeles, CA 90048-2237 | 2013-10-30 |
| 1053650275 | Vadim Kuraev | Nurse Anesthetist, Certified Registered | 1830 S. Point View St, Los Angeles, CA 90035-3002 | 2013-02-07 |
| 1376896712 | Amy Hudson Crna Inc | Nurse Anesthetist, Certified Registered | 7367 Waring Ave, Los Angeles, CA 90046-7529 | 2012-10-23 |
| 1881970903 | Llewy Charl Rimular | Nurse Anesthetist, Certified Registered | 1533 Rosalia Rd, Los Angeles, CA 90027-5519 | 2011-11-03 |
| 1942582390 | Monique Jabbour | Nurse Anesthetist, Certified Registered | 1520 San Pable Street, Los Angeles, CA 90033 | 2011-09-12 |
| 1760714273 | Barbara L. Giroux, Crna, A Nursing Corp. | Nurse Anesthetist, Certified Registered | 8088 Oakwood Ave, Los Angeles, CA 90048-2254 | 2010-02-08 |
| 1235370677 | Tseganesh Haileselassie | Nurse Anesthetist, Certified Registered | 1318 Woodruff Ave, Los Angeles, CA 90024-5130 | 2009-03-16 |
| 1457592917 | Elizabeth Ann Lopez | Nurse Anesthetist, Certified Registered | 1811 S New England St, Los Angeles, CA 90006-5313 | 2009-03-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90023 |
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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.