| Brian S Moore, MD | |
|
5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | |
| (619) 740-4000 | |
| (619) 740-4207 |
| Full Name | Brian S Moore |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 37 Years |
| Location | 5555 Grossmont Center Dr, La Mesa, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831144005 | NPI | - | NPPES |
| 00G683360 | Medicaid | CA | |
| 00G683360 | Other | CA | BLUE SHIELD PIN |
| 10963841 | Other | CAQH |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grossmont Hospital | La mesa, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| X-ray Medical Group Inc | 5294796801 | 42 |
| Emergency And Acute Care Medical Corporation | 9537108279 | 394 |
| Entity Name | X-ray Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740232776 PECOS PAC ID: 5294796801 Enrollment ID: O20041026000600 |
| Entity Name | Emergency And Acute Care Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian S Moore, MD 7777 Alvarado Rd, #108, La Mesa, CA 91942 Ph: (619) 460-2770 | Brian S Moore, MD 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 Ph: (619) 740-4000 |
Juan Carlos Vera, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-4008 | |
Dr. Jonathan Tiefenbrun, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 8851 Center Dr, Ste 505, La Mesa, CA 91942 Phone: 619-461-3880 Fax: 619-461-3895 | |
Dr. Scott Carey Honowitz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-4005 Fax: 619-740-4207 | |
James C Jacobsen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8881 Fletcher Parkway, #102, La Mesa, CA 91942 Phone: 619-461-1830 Fax: 619-797-1484 | |
Dr. Charles Kerber, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4444 Topa Topa Dr, La Mesa, CA 91941 Phone: 760-598-8058 Fax: 760-598-8078 | |
Alexander S Urioste, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8881 Fletcher Parkway, #102, La Mesa, CA 91942 Phone: 619-461-1830 Fax: 619-797-1484 | |
Stanley Rapoport, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Parkway, #102, La Mesa, CA 91942 Phone: 619-461-1830 Fax: 619-797-1484 |