BRIAN VINCENT MOORE (NPI# 1417474123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417474123 |
Entity Type | Individual |
Full Name | BRIAN VINCENT MOORE |
Credential | RN |
Practice Address |
1030 W Warner Ave Santa Ana CA 92707-3147 |
Mailing Address |
1941 W La Veta Ave Apt 223 Orange CA 92868-4168 |
Practice Telephone | 7148346900 |
Enumeration Date | 2017-08-23 |
Last Update Date | 2017-08-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
95085518 | CA | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477160810 | Brian Chadwick Moore | Technician | 1227 Blue Slide Rd, Thompson Falls, MT 59873-9470 | 2020-09-29 |
1790102226 | Brian Archie Moore | Physical Therapist | 4413 61st St, Lubbock, TX 79414-4520 | 2014-03-21 |
1225336316 | Brian Thomas Moore | Pharmacist | 602 Bacons Bridge Rd, Summerville, SC 29485-4102 | 2011-03-14 |
1033236591 | Brian Alan Moore | Social Worker | 1001 W 10th St # Bu1, Midtown Cmhc, Indianapolis, IN 46202-2859 | 2007-03-22 |
1952480063 | Brian Joseph Moore | Internal Medicine | 1201 Mount Kemble Ave, Morristown, NJ 07960-6628 | 2006-11-02 |
1487743696 | Brian Franklin Moore | Prosthetist | 172 Commercial Sq, Slidell, LA 70461-5418 | 2006-10-12 |
1144237108 | Brian Moore | Anesthesiology | 8504 Osuna Rd Ne, Albuquerque, NM 87111-2148 | 2006-08-02 |
1013961804 | Brian Lee Moore | Nurse Anesthetist, Certified Registered | 6615 Briarwood Cir, Wichita, KS 67212-2986 | 2006-05-19 |
1790749539 | Brian Keith Moore | Specialist/Technologist | 4653 Clairton Blvd, Pittsburgh, PA 15236-2149 | 2006-04-17 |
1871554527 | Brian Harold Moore | Specialist | 813 W 2nd St, Bloomington, IN 47403-2212 | 2006-03-31 |
Street Address |
1030 W WARNER AVE |
City | SANTA ANA |
State | CA |
Zip Code | 92707-3147 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770584328 | Royale Health Care Center Inc. | Skilled Nursing Facility | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2005-08-04 |
1982229571 | Ronnie Alvarez Corona | Nurse Practitioner | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2020-06-10 |
1811511744 | Kristin Marie Bradley | Nurse Practitioner | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2020-06-06 |
1588207161 | Luis Alfredo Barrera | Registered Nurse | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2019-10-25 |
1558846816 | Warren Pabale | Registered Nurse | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2018-10-02 |
1558841957 | Edgar Nectali Zavaleta | Registered Nurse | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2018-08-15 |
1538648878 | James Trimmer | Registered Nurse | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2018-08-08 |
1598259632 | Vernon Leslie Castle | Licensed Psychiatric Technician | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2018-06-21 |
1669978490 | Elias Perez | Occupational Therapy Assistant | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2018-04-02 |
1255850541 | Priscilla Medina | Physical Therapy Assistant | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2017-09-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831743301 | Nestor Carcache | Marriage & Family Therapist | 2201 Kilson Ave, Santa Ana, CA 92707 | 2019-08-01 |
1184113292 | Ma Nehemiah Valencia Galindo | Nurse Practitioner | 201 E. Sandpointe Ave, Suite 600, Santa Ana, CA 92707 | 2018-05-03 |
1780089565 | Raymond Nambar | Registered Nurse | 1030 W. Warner Ave., Santa Ana, CA 92707 | 2014-10-23 |
1366733073 | Yellowstone Women's First Step House, Inc. | Substance Abuse Rehabilitation Facility | 1621 Indus Street, Santa Ana Heights, CA 92707 | 2011-04-28 |
1972809051 | American Logistics Company, LLC | Transportation Broker | 530 W Dyer Rd, Santa Ana, CA 92707 | 2011-02-07 |
1972807022 | Faraz Valaie | Pediatrics | 15 Macarthur Place, #601, Santa Ana, CA 92707 | 2011-01-04 |
1073815353 | Alicia Tokunaga | Physician Assistant | 2621 S Bristol St #203, Santa Ana, CA 92707 | 2010-11-18 |
1518279017 | Laura Reynoso | Case Manager/Care Coordinator | 2416 S Main St., Santa Ana, CA 92707 | 2010-07-13 |
1477705671 | Vanessa E. Carmona | Counselor | 2416 S. Main St, Suite B, Santa Ana, CA 92707 | 2008-10-21 |
1144379785 | Community Dental Services | Dentist | 2 Macarthur Place, Santa Ana, CA 92707 | 2007-01-10 |
Find all providers in zip 92707 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336558709 | Evan Sandoval | Registered Nurse | 12062 W Edinger Ave Spc 57, Santa Ana, CA 92704-3820 | 2014-08-10 |
1710263660 | Rebecca R Kolb | Registered Nurse | 550 N Flower St Bldg 96, Santa Ana, CA 92703-2361 | 2011-10-24 |
1649366352 | Donna F. Bray | Registered Nurse | 405 West 5th Street, Suite 550, Santa Ana, CA 92701 | 2006-10-04 |
1629532874 | Jennifer Tracy Lesser | Registered Nurse | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4434 | 2019-01-22 |
1558846816 | Warren Pabale | Registered Nurse | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2018-10-02 |
1558841957 | Edgar Nectali Zavaleta | Registered Nurse | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2018-08-15 |
1093107732 | Victor Ernest Pazmino Rodriguez II | Registered Nurse | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2015-03-03 |
1285071944 | Karol Ronie Bunao | Registered Nurse | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2013-06-03 |
1396091203 | Kelly Winters Kelley | Registered Nurse | 1300 S Grand Ave, Santa Ana, CA 92705-4434 | 2012-07-28 |
1821239047 | Sheila Kathryn Tan | Registered Nurse | 1200 N Main St, Santa Ana, CA 92807 | 2009-03-18 |
Find all providers in SANTA ANA |
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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.