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MR. KEITH BRONSON MOORE JR. LVN
NPI 1063271476
Licensed Vocational Nurse in Oakland, CA

Active since March 18, 2024
10429 INTERNATIONAL BLVD, OAKLAND, CA 94603(510) 777-8448 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Keith Bronson Moore Jr. Lvn NPPES

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

MR. KEITH BRONSON MOORE JR. LVN (NPI 1063271476) is an individual licensed vocational nurse in Oakland, California, licensed in California (VN139441) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1063271476
Entity TypeIndividualMale
Primary Taxonomy164X00000X
Provider Legal NameMR. KEITH BRONSON MOORE JR.Credential: LVN
Location Address10429 INTERNATIONAL BLVDOakland, CA 94603-3221
Mailing Address10429 International BlvdOakland, CA 94603-3221 · (510) 777-8448
Phone(510) 777-8448
Sole ProprietorNo
Enumeration DateMarch 18, 2024
NPPES CertifiedDecember 15, 2023
✔ NPI 1063271476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · VN139441
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
10429 INTERNATIONAL BLVD, Oakland, CA 94603
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Other Providers at the Same Location NPPES 20

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

MS. ANNA MARIE REGALADO
Specialist
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-8448
KRYSTIN BREANNE YANKISH
Counselor (Addiction (Substance Use Disorder))
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-8448
HERLINDA VIZCARRA
Licensed Vocational Nurse
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (415) 578-9489
DELICIA ANN TORRES
Licensed Vocational Nurse
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-8448
TEERIKCA RENEE HOUSTON
Licensed Vocational Nurse
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-8448
TAWNY DENISHA WILLIAMS RADT
Counselor (Addiction (Substance Use Disorder))
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-8448
SHARRISE WILLIAMS
Counselor
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-8448
KERMIT RAY BROWN
Counselor (Addiction (Substance Use Disorder))
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-8448

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 Keith Moore's NPI number?

The NPI number for Keith Moore is 1063271476. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Keith Moore located?

Keith Moore practices at 10429 International Blvd, Oakland, CA 94603. The listed phone number is (510) 777-8448.

What is Keith Moore's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Keith Moore was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.