Jessica Anne Lopez-Moore in Bakersfield - Physician Assistant
Jessica Anne Lopez-Moore - NPI 1366623407
Jessica Anne Lopez-Moore is a Physician Assistant in Bakersfield, California. Jessica Anne Lopez-Moore practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jessica Anne Lopez-Moore is 1366623407. The last update date is 2012-11-14.
Jessica Anne Lopez-Moore's current location address is 300 Old River Rd, Bakersfield, California. You can contact this provider via phone number 6616634700 and fax number 6616634740. The mailing address for Jessica Anne Lopez-Moore is 300 Old River Rd, Bakersfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Anne Lopez-Moore |
|---|---|
| Address | 300 Old River Rd, Bakersfield, California |
| Phone Number | 6616634700 |
| Fax Number | 6616634740 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1366623407 |
|---|---|
| Provider Enumeration Date | 2007-11-16 |
| Last Updated Date | 2012-11-14 |
Provider Mailing Address Detail
| Address | 300 Old River Rd |
|---|---|
| City | Bakersfield |
| State | California (CA) |
| Post Code | 933119503 |
| Phone Number | 6616634700 |
| Fax Number | 6616634740 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA 19378 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1079471 | CA | PA-CERTIFICATION |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jessica Anne Lopez-Moore by the Centers for Medicare & Medicaid Services?
The Jessica Anne Lopez-Moore has been issued the NPI (National Provider Identifier) 1366623407, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jessica Anne Lopez-Moore is located?
The Jessica Anne Lopez-Moore is situated at the following address: 300 Old River Rd, Bakersfield, CA, 933119503.
What is Jessica Anne Lopez-Moore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jessica Anne Lopez-Moore's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1366623407 to Jessica Anne Lopez-Moore?
The Jessica Anne Lopez-Moore received its 1366623407 assignment from the Centers for Medicare & Medicaid Services on 2007-11-16.
When was the information related to Jessica Anne Lopez-Moore most recently updated or refreshed?
The details pertaining to the Jessica Anne Lopez-Moore, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-11-14.
NPI Number: 1235130048
Address: 1770 N Orange Grove Ave Ste 101, Pomona, CA