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 | 36 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 | 39 |
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 |
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. Tuan Xuan Ha, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-4000 | |
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 |