| David Scott Moore, PA-C | |
|
4559 N Cedar Ave, Fresno, CA 93726-2540 | |
| (559) 222-3400 | |
| Not Available |
| Full Name | David Scott Moore |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4559 N Cedar Ave, Fresno, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467608786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA19765 (California) | Primary |
| Entity Name | Sierra Pacific Orthopaedic Center Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285669655 PECOS PAC ID: 8426941105 Enrollment ID: O20040205001011 |
| Entity Name | Algos Inc a Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497747356 PECOS PAC ID: 8123917713 Enrollment ID: O20040311001539 |
| Mailing Address | Practice Location Address |
|---|---|
| David Scott Moore, PA-C 4559 N Cedar Ave, Fresno, CA 93726-2540 Ph: (559) 222-3400 | David Scott Moore, PA-C 4559 N Cedar Ave, Fresno, CA 93726-2540 Ph: (559) 222-3400 |
Whitney Ann Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-499-6440 |
Ericson Mutsuo Hirose, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-443-2682 Fax: 559-443-2681 |
Nicholas Cico, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 645 S Minnewawa Ave, Fresno, CA 93727 Phone: 800-492-4227 |
Irene J Lee, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7085 N Chestnut Ave Ste 101, Fresno, CA 93720 Phone: 559-323-9236 Fax: 559-323-0294 |
William Joseph Johncox, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7152 N Sharon Ave Ste 102, Fresno, CA 93720 Phone: 559-432-6807 Fax: 559-432-6937 |
Rocio Patricia Naranjo, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7471 N Fresno St, Fresno, CA 93720 Phone: 559-436-4500 Fax: 559-436-0500 |
Charlene Kim Dang, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-459-3770 |