KAYA MOORE PAC NPI 1659349785

NPI Information

  • NPI: 1659349785
  • Provider Name: KAYA MOORE, PAC
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1950 UNIVERSITY AVE
    160
    EAST PALO ALTO, CA
    ZIP 94303
  • Phone: (650) 617-8100

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NPI Details

Kaya Moore, PAC is a medical physician assistant in East Palo Alto, CA. Kaya Moore, PAC NPI is 1659349785. 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:

1950 UNIVERSITY AVE
160
EAST PALO ALTO, CA
ZIP 94303-250
Phone: (650) 617-8100
Fax: (650) 327-2947

The NPI 1659349785 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 6/26/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA18798CALIFORNIAYes

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: 11/21/2025

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