PAMELA DENESE MOORE (NPI# 1629499322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629499322 |
| Entity Type | Individual |
| Full Name | PAMELA DENESE MOORE |
| Credential | PA |
| Practice Address |
1716 Allison Way Redlands CA 92373-7436 |
| Practice Telephone | 8179093507 |
| Mailing Telephone | 8179093507 |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2014-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA23287 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750519492 | Pamela Anne Moore | Contractor | 12703 Leyden St Unit E, Thornton, CO 80602-5226 | 2009-07-01 |
| 1508026535 | Pamela S Moore | Social Worker | 194 Webbmont Road, Highlands, NC 28741 | 2008-06-12 |
| 1770652679 | Pamela Beth Moore | Occupational Therapist | 5970 E 31st St, Ste F, Tulsa, OK 74135-5100 | 2006-11-06 |
| 1063506483 | Pamela Moore | Optometrist | 3300 E Flamingo Rd Ste 20, Las Vegas, NV 89121-4398 | 2006-10-02 |
| 1730192246 | Pamela Lynn Moore | Nurse Practitioner | 7600 N 15th Street, #130, Phoenix, AZ 85020-4347 | 2006-08-14 |
| 1700851391 | Pamela Kim Moore | Pediatrics | 1300 Sw 27th St, Renton, WA 98057-2435 | 2006-02-17 |
| 1477547701 | Pamela Marie Moore | Occupational Therapist | 6595 Cole Rd, Hahira, GA 31632-3621 | 2005-09-01 |
| 1851390900 | Pamela A Moore | Dentist | 1524 Independence Pkwy, Suite A1/b, Plano, TX 75075-6406 | 2005-07-20 |
| 1730718511 | Pamela Dianne Moore | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Mail Stop 800699, Charlottesville, VA 22908-0816 | 2020-04-03 |
| 1851938088 | Pamela Moore | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2019-12-06 |
| Street Address |
1716 ALLISON WAY |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-7436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434893 | Riley Pyne Warner | Physician Assistant | 92 Kansas St Apt F23, Redlands, CA 92373-5429 | 2020-07-19 |
| 1710543194 | Tiffany Darlene Mendoza | Physician Assistant | 93 Kansas St Apt 605, Redlands, CA 92373-1476 | 2019-05-11 |
| 1750861951 | Jordan David Giesler | Physician Assistant | 75 Price St Apt A, Redlands, CA 92373-1426 | 2018-08-16 |
| 1952889800 | Megan Straw | Physician Assistant | 1754 Somerset Ln, Redlands, CA 92374-5561 | 2018-08-02 |
| 1497260772 | Annie Wai-chee Li | Physician Assistant | 255 Terracina Blvd Ste 101a, Redlands, CA 92373-4870 | 2017-12-07 |
| 1174079347 | Student | Physician Assistant | 1640 Juanita Ln, Redlands, CA 92373-7142 | 2016-08-28 |
| 1942655303 | Jeff Del Real | Physician Assistant | 118 E Cypress Ave, Redlands, CA 92373-6035 | 2016-05-03 |
| 1639540131 | Travis Taggart | Physician Assistant | 808 Rachel Ct, Redlands, CA 92373-4563 | 2015-10-09 |
| 1740659994 | Aurora Casas Ledezma | Physician Assistant | 1969 Orange Tree Ln Ste B, Redlands, CA 92374-0114 | 2015-09-17 |
| 1609159615 | Rebecca R.m. Ware | Physician Assistant | 255 Terracina Blvd., Suite 101a, Redlands, CA 92373 | 2011-09-26 |
| Find all providers in REDLANDS | ||||
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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.