| Mrs Jennifer Nishkian Moore, PA-C | |
|
13095 Jamboree Rd, Tustin, CA 92782-9150 | |
| (714) 838-8254 | |
| (714) 838-9463 |
| Full Name | Mrs Jennifer Nishkian Moore |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 13095 Jamboree Rd, Tustin, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801070933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 19486 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oneil Enterprises Inc | 9638506686 | 16 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Entity Name | Stephen R Shea MD Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942239033 PECOS PAC ID: 7416854377 Enrollment ID: O20040422001706 |
| Entity Name | Oneil Enterprises Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184186629 PECOS PAC ID: 9638506686 Enrollment ID: O20200303002834 |
| Entity Name | Southern California Emergency Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518588433 PECOS PAC ID: 4688097066 Enrollment ID: O20200701001805 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Nishkian Moore, PA-C 13095 Jamboree Rd, Tustin, CA 92782-9150 Ph: (714) 838-8254 | Mrs Jennifer Nishkian Moore, PA-C 13095 Jamboree Rd, Tustin, CA 92782-9150 Ph: (714) 838-8254 |
Crystal Martin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |
Mr. Carlos Guerrero, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |
Henry C. Luu, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17612 17th St Ste 101, Tustin, CA 92780 Phone: 714-243-5450 |
Mindy Thanh Phan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |
Amanda Allen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18302 Irvine Blvd Ste 200, Tustin, CA 92780 Phone: 949-825-7650 |
Laurie Jeanne Mazzei, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Hope Dr, Tustin, CA 92782 Phone: 714-247-0300 Fax: 714-259-1598 |
Rebecca Marquez, Physician Assistant Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |