LISA MOORE
NPI 1063827343
Family Medicine in Culver City, CA
About Lisa Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MOORE (NPI 1063827343) is an individual family medicine provider in Culver City, California, licensed in California (A173679) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
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
Lisa Moore 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CULVER CITY, CA 90230
CULVER CITY, CA 90230
LOS ANGELES, CA 90230
CULVER CITY, CA 90230
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 Lisa Moore's NPI number?
The NPI number for Lisa Moore is 1063827343. It was assigned to this individual provider in the NPPES registry on June 25, 2014.
Where is Lisa Moore located?
Lisa Moore practices at 4700 Inglewood Blvd, Culver City, CA 90230. The listed phone number is (310) 392-8636.
What is Lisa Moore's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lisa Moore enrolled in Medicare?
Yes. Lisa 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 Lisa Moore was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lisa Moore · NPI 1063827343
Family Medicine physician in Culver City, California. Individual provider, active in the CMS NPPES registry since June 25, 2014.
## Identity
- **NPI:** 1063827343 (Entity type: Individual)
- **Enumerated:** June 25, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A173679 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4700 INGLEWOOD BLVD, Culver City, CA 90230-5896
- **Phone:** (310) 392-8636
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Loyola University Of Chicago, Stritch School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** January 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063827343) · Data from the CMS NPPES public registry.