MRS. JENNIFER NISHKIAN MOORE (NPI# 1801070933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801070933 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER NISHKIAN MOORE |
| Credential | PA-C |
| Practice Address |
13095 Jamboree Rd Tustin CA 92782-9150 |
| Practice Telephone | 7148388254 |
| Practice Fax Number | 7148389463 |
| Mailing Telephone | 7148388254 |
| Mailing Fax Number | 7148389463 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2012-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 19486 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536370 | Jennifer Lynn Moore | Nurse Practitioner | 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 | 2020-10-20 |
| 1790332104 | Jennifer Dawn Moore | Technician | 3154 Jackson Bridge Rd, Carnesville, GA 30521-4126 | 2019-08-20 |
| 1427522192 | Jennifer G Moore | Speech-Language Pathologist | 2500 Cherry Ln, Northbrook, IL 60062-4414 | 2019-01-16 |
| 1548735632 | Jennifer Moore | Counselor | 11706 W Chenango Dr Apt 3, Morrison, CO 80465-2020 | 2018-10-04 |
| 1295218667 | Jennifer Elaine Moore | Registered Nurse | 185 Vz Cr 2103, Canton, TX 75103 | 2018-09-12 |
| 1942788104 | Jennifer Heine Moore | Licensed Vocational Nurse | 315 S Grand Saline St, Canton, TX 75103-1355 | 2018-07-31 |
| 1134639636 | Jennifer A Moore | Psychologist | 310 S Walnut Bend Rd Ste 2, Cordova, TN 38018-7282 | 2017-10-10 |
| 1346778214 | Jennifer Moore | Counselor | 348 Prior Ave N Ste 205, Saint Paul, MN 55104-5591 | 2017-05-23 |
| 1194263665 | Jennifer Moore | Occupational Therapist | 6540 Havens Corners Rd, Blacklick, OH 43004-8415 | 2017-02-06 |
| 1790237329 | Jennifer Moore | Student in an Organized Health Care Education/Training Program | 281 Winter St Ste 240, Waltham, MA 02451-8713 | 2016-10-31 |
| Street Address |
13095 JAMBOREE RD |
| City | TUSTIN |
| State | CA |
| Zip Code | 92782-9150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760594790 | Anthony F Naples | Family Medicine | 13095 Jamboree Rd, Tustin, CA 92782-9150 | 2006-08-31 |
| 1134652241 | Ardeshir Ebn Alnassir | Physician Assistant | 13095 Jamboree Rd, Tustin, CA 92782-9150 | 2017-04-05 |
| 1104222124 | Stacey Shoop | Physician Assistant | 13095 Jamboree Rd, Tustin, CA 92782-9150 | 2014-11-19 |
| 1972812139 | Tustin Place Medical Group | Non-Pharmacy Dispensing Site | 13095 Jamboree Rd, Tustin, CA 92782-9150 | 2010-10-05 |
| 1508083239 | Cristina Sanchez | Physician Assistant | 13095 Jamboree Rd, Tustin, CA 92782-9150 | 2007-04-20 |
| 1710020805 | Jay Amin Md Inc | Internal Medicine | 13095 Jamboree Rd, Tustin, CA 92782-9150 | 2007-02-15 |
| 1225171333 | Anthony F Naples Phd Md Inc | Family Medicine | 13095 Jamboree Rd, Tustin, CA 92782-9150 | 2007-02-15 |
| 1548330772 | Yousef Shemseddin Beshqoy | Chiropractor | 13095 Jamboree Rd, Tustin, CA 92782-9150 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548890528 | Christina Maria Clayton | Registered Nurse | 3100 Park Ave Apt 7-201, Tustin, CA 92782 | 2020-01-18 |
| 1447769963 | National Vision, Inc. | Technician/Technologist | 15020 Kensington Park Drive, J300, Tustin, CA 92782 | 2017-09-27 |
| 1487175410 | Vanson Dental Corporation | Dentist | 15160 Kensington Park Drive, Ste 610, Tustin, CA 92782 | 2017-06-29 |
| 1982133526 | Hee Eun Lee | Occupational Therapist | 2741 Dunstan Drive, Tustin, CA 92782 | 2017-06-07 |
| 1881129229 | Lydia Anna Bray | Pharmacist | 2102 Seminole, Tustin, CA 92782 | 2017-04-24 |
| 1427591577 | Charlie Huang | Internal Medicine | 15000 Kensington Park Dr Ste 250, Tustin, CA 92782 | 2016-11-21 |
| 1144672270 | Leiza Yamila Walia | Dentist | 15160 Kensington Park Dr Ste 610, Tustin, CA 92782 | 2016-07-13 |
| 1467831131 | Steven Yi Sun | Pediatrics | 15000 Kensington Park Dr, Tustin, CA 92782 | 2015-05-27 |
| 1639506405 | Medivan | Non-emergency Medical Transport (VAN) | 13800 Parkcenter Lane, Tustin, CA 92782 | 2013-10-10 |
| 1124266085 | Stacie Lynn Aragon | Counselor | 1 Hope Dr., Tustin, CA 92782 | 2009-01-30 |
| Find all providers in zip 92782 | ||||
| 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 |
|---|---|---|---|---|
| 1235753856 | Michal Twardowski | Physician Assistant | 15662 S B St Apt B, Tustin, CA 92780-4352 | 2020-05-29 |
| 1457823254 | Naghmeh Fathi | Physician Assistant | 16012 Legacy Rd Unit 314, Tustin, CA 92782-2822 | 2018-12-19 |
| 1619405537 | Lily Vu Tran | Physician Assistant | 1302 Garland Ave, Tustin, CA 92780-3820 | 2017-05-24 |
| 1346787025 | Asmc II, Pllc | Physician Assistant | 20626 120th Ave, Tustin, MI 49688-8220 | 2017-01-19 |
| 1245560226 | Phalee Ngoc Nguyen | Physician Assistant | 661 W First St, Suite G, Tustin, CA 92780-2939 | 2010-01-13 |
| 1952331415 | Mimi Anh Mai Tran | Physician Assistant | 1201 Drayton Ave, Tustin, CA 92780-6131 | 2006-07-03 |
| 1356385215 | Adela Ashraf | Physician Assistant | 18102 Irvine Blvd Ste 208, Tustin, CA 92780-3424 | 2006-06-15 |
| 1992345680 | Tram-anh Le | Physician Assistant | 17612 17th St, Tustin, CA 92780-1962 | 2020-01-09 |
| 1477196079 | Adrianne Wong | Physician Assistant | 1 Hope Dr, Tustin, CA 92782-0221 | 2019-10-26 |
| 1316430754 | Allysha Varughese | Physician Assistant | 1 Hope Dr, Tustin, CA 92782-0221 | 2018-06-11 |
| Find all providers in TUSTIN | ||||
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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.