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TONNIE MOORE PA NPI 1619997269


NPI Information

NPI: 1619997269
Provider Name: TONNIE MOORE, PA
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Address:
555 PETALUMA AVE
SUITE B
SEBASTOPOL, CA
ZIP 95472
Phone: (707) 823-7602
Get Directions

Tonnie Moore, PA is a physician assistant in Sebastopol, CA. The provider is 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. Tonnie Moore, PA NPI is 1619997269. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

555 PETALUMA AVE
SUITE B
SEBASTOPOL, CA
ZIP 95472-224
Phone: (707) 823-7602
Fax: (707) 823-7625

The enumeration date for this NPI number is 7/19/2006 and was last updated on 10/9/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantPA17329CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q00803MEDICARE UPINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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