RODRICK WAYNE MOORE SR. CRNA
NPI 1053970103
Nurse Anesthetist, Certified Registered in Los Angeles, CA

Active since June 12, 2019Accepts Medicare Assignment
4060 WHITTIER BLVD, LOS ANGELES, CA 90023(323) 268-5514 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rodrick Wayne Moore Sr. Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RODRICK WAYNE MOORE SR. CRNA (NPI 1053970103) is an individual nurse anesthetist, certified registered in Los Angeles, California, licensed in California (95001146) and active in the NPI registry since June 2019. He is a graduate of Other (2017).

NPPES Registry Identity

NPI1053970103
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameRODRICK WAYNE MOORE SR.Credential: CRNA
Location Address4060 WHITTIER BLVDLos Angeles, CA 90023-2526
Mailing Address1605 Mendocino WayPerris, CA 92571-3732
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 12, 2019
NPI 1053970103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in CA · 95001146
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

4060 WHITTIER BLVD, Los Angeles, CA 90023

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rodrick Wayne Moore Sr. Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739411075
PECOS Enrollment IDI20191106000101

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for placement or revision of blood flow shunt 01844
Anesthesia for blood flow shunt placement or revision ensures comfort during the procedure. It involves medication to numb or induce sleep, preventing pain or discomfort. It's safe, monitored by professionals, and tailored to individual needs.
25 services21 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
23 services23 patients
Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415
This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90023 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
4060 WHITTIER BLVD
LOS ANGELES, CA 90023
Pathology (Anatomic Pathology & Clinical Pathology)
4060 WHITTIER BLVD, DEPARTMENT OF PATHOLOGY
LOS ANGELES, CA 90023
Anesthesiology
4060 WHITTIER BLVD
LOS ANGELES, CA 90023
Anesthesiology
4060 WHITTIER BLVD
LOS ANGELES, CA 90023
Specialist
4060 WHITTIER BLVD
LOS ANGELES, CA 90023
Anesthesiology
4060 WHITTIER BLVD
LA, CA 90023
Anesthesiology
4060 WHITTIER BLVD
LOS ANGELES, CA 90023
General Acute Care Hospital
4060 WHITTIER BLVD
LOS ANGELES, CA 90023

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rodrick Moore's NPI number?

The NPI number for Rodrick Moore is 1053970103. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Where is Rodrick Moore located?

Rodrick Moore practices at 4060 Whittier Blvd, Los Angeles, CA 90023. The listed phone number is (323) 268-5514.

What is Rodrick Moore's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Rodrick Moore enrolled in Medicare?

Yes. Rodrick Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Rodrick Moore was last updated on June 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.