Dr Gregory J Moore, MD | |
1205 E North St, Manteca, CA 95336-4932 | |
(209) 239-8301 | |
Not Available |
Full Name | Dr Gregory J Moore |
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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 |
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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 |
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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 | |
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 | |
Ohnmar H. Thaung, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000 | |
Susan Nylen, NFP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1140 Norman Dr, Suite 101, Manteca, CA 95336 Phone: 209-825-7748 |