GARY MOORE (NPI# 1093924623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093924623 |
| Entity Type | Individual |
| Full Name | GARY MOORE |
| Practice Address |
673 San Jose Ave San Francisco CA 94110-4914 |
| Mailing Address |
1466 Oakdale Ave San Francisco CA 94124-2726 |
| Practice Telephone | 4152823789 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497285266 | Gary Thomas Moore | Behavior Technician | 6311 Bonaire Ave, New Port Richey, FL 34653-1601 | 2017-06-14 |
| 1316016967 | Gary Carl Moore | Chiropractor | 256 Roskovensky Rd, Latrobe, PA 15650-5489 | 2006-11-07 |
| 1376522979 | Gary N Moore | Dentist | 2620 Tenderfoot Hill St Ste 210, Colorado Springs, CO 80906 | 2006-01-11 |
| 1114560265 | Gary C Moore | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2019-10-22 |
| 1487120275 | Gary Moore | Counselor | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2018-10-18 |
| 1417407917 | Gary Moore | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2016-10-07 |
| 1407151756 | Gary Moore | Physical Therapy Assistant | 200 Sw 14th St, Newton, KS 67114-4701 | 2011-01-18 |
| 1437392768 | Gary L Moore | Counselor | 3260 N Hayden Rd, Suite 112, Scottsdale, AZ 85251-6649 | 2009-04-16 |
| 1437305042 | Gary John Moore | Registered Nurse | 1519 Nye Rd, Suite 200, Lyons, NY 14489-9133 | 2008-08-14 |
| 1053533455 | Gary Thomas Moore | Counselor | 212 I St, Davis, CA 95616-4213 | 2007-05-03 |
| Street Address |
673 SAN JOSE AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-4914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235294471 | Shannon F. Williamson | Social Worker | 673 San Jose Ave, San Francisco, CA 94110-4914 | 2006-12-27 |
| 1578189239 | Lauren Cato | Community Health Worker | 673 San Jose Ave, San Francisco, CA 94110-4914 | 2020-06-18 |
| 1396361226 | Damon Houston | Community Health Worker | 673 San Jose Ave, San Francisco, CA 94110-4914 | 2020-06-16 |
| 1902443708 | Shalonn Latrice Powell | Counselor | 673 San Jose Ave, San Francisco, CA 94110-4914 | 2019-11-29 |
| 1396201422 | Paciana B Ashton | Community Health Worker | 673 San Jose Ave, San Francisco, CA 94110-4914 | 2019-02-13 |
| 1508348129 | Erica D Hunter | Counselor | 673 San Jose Ave, San Francisco, CA 94110-4914 | 2018-08-30 |
| 1417449059 | Jakeesha Sheri Gill | Community Health Worker | 673 San Jose Ave, San Francisco, CA 94110-4914 | 2018-05-30 |
| 1275077810 | Ashley Bhatia | Community Health Worker | 673 San Jose Ave, San Francisco, CA 94110-4914 | 2016-12-16 |
| 1639624950 | Kyle Lee | Counselor | 673 San Jose Ave, San Francisco, CA 94110 | 2016-08-16 |
| 1023562329 | Joseph Dudum | Counselor | 673 San Jose Ave, San Francisco, CA 94110-4914 | 2016-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124685169 | Joseph William Jasser, M.d., Medical Corporation | Case Manager/Care Coordinator | 505 Montgomery St Fl 11, San Francisco, CA 94111-2585 | 2019-05-24 |
| 1053784132 | Annie Pham | Case Manager/Care Coordinator | 562 37th Ave Apt 2, San Francisco, CA 94121-2656 | 2015-11-11 |
| 1235532102 | Maureen Rees | Case Manager/Care Coordinator | 201 Third Street, 7th Floor, San Francisco, CA 94103 | 2014-10-06 |
| 1821341215 | Reymundo Espinoza | Case Manager/Care Coordinator | 445 Hampshire St, San Francisco, CA 94110-1416 | 2012-10-22 |
| 1689921173 | Susan Au | Case Manager/Care Coordinator | 30 Mason St, Apt 702, San Francisco, CA 94102-2899 | 2012-08-14 |
| 1336495316 | Sierra Simone Anderson Ross IIi | Case Manager/Care Coordinator | 472 Turk St, San Francisco, CA 94102-3330 | 2012-07-27 |
| 1871866079 | Kelly Castel | Case Manager/Care Coordinator | 333 Valencia St Ste 240, 415-503-1046 Main Number, San Francisco, CA 94103-3547 | 2012-02-17 |
| 1861771933 | Patricia O'connor | Case Manager/Care Coordinator | 201 3rd St Fl 7, San Francisco, CA 94103-3146 | 2011-08-08 |
| 1114153012 | Van David Portlock | Case Manager/Care Coordinator | 730 Eddy St, Room 204, San Francisco, CA 94109-7846 | 2009-06-05 |
| 1760618805 | Linda Kay Duncan | Case Manager/Care Coordinator | 730 Eddy St Apt 205, San Francisco, CA 94109-7847 | 2009-06-03 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
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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.