| Dr Gregory J Moore, MD | |
| 1205 E North St, Manteca, CA 95336-4932 | |
| (209) 239-8301 | |
| Not Available | 
| Full Name | Dr Gregory J Moore | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 1205 E North St, Manteca, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1831128156 | NPI | - | NPPES | 
| 00G626340 | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | G62634 (California) | Secondary | 
| 207Q00000X | Family Medicine | G62634 (California) | Primary | 
| Entity Name | California Em-i Medical Services A Medical Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003865247 PECOS PAC ID: 3678487774 Enrollment ID: O20040323000681 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Gregory J Moore, MD 115 Bella Vista Way, Vallejo, CA 94590-3470 Ph: (707) 552-1564 | Dr Gregory J Moore, MD 1205 E North St, Manteca, CA 95336-4932 Ph: (209) 239-8301 | 
| Syed Rahman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 165 Saint Dominics Dr Ste 201, Manteca, CA 95337 Phone: 209-823-2345 | |
| Dr. Gurjant Singh, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1026 Lifestyle St, Manteca, CA 95337 Phone: 209-823-2345 | |
| Dr. Farwa Feroze, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1026 Lifestyle St, Manteca, CA 95337 Phone: 209-823-2345 | |
| Marflorendo Macaltao,  Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 241 W Yosemite Ave, Manteca, CA 95336 Phone: 209-585-1066 | |
| Barbara Jane Bauer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000 | |
| Khaleedah Young, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-825-3700 | |
| Dhimant B. Shelat, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000 |