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DR. JONATHAN MOORE MD
NPI 1104479047
Urology in Sacramento, CA

Active since July 19, 2019
4860 Y ST STE 3500, SACRAMENTO, CA 95817(916) 734-4561(916) 734-8094 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 28, 2021, Sep 8, 2021, Sep 9, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Jonathan Moore Md NPPES

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

DR. JONATHAN MOORE MD (NPI 1104479047) is an individual urology provider in Sacramento, California, licensed in Arizona (57937) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1104479047
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JONATHAN MOORECredential: MD
Location Address4860 Y ST STE 3500Sacramento, CA 95817-2307
Mailing Address4860 Y St Ste 3500Sacramento, CA 95817-2307 · (916) 734-2893
Phone(916) 734-4561
Fax(916) 734-8094
Sole ProprietorNo
Enumeration DateJuly 19, 2019
Last NPPES UpdateSeptember 28, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2021
✔ NPI 1104479047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in AZ · 57937
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
4860 Y ST STE 3500, Sacramento, CA 95817
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Other Providers at the Same Location NPPES 9

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

PRECIOUS MOMAN
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 3500
SACRAMENTO, CA 95817
Sacramento County (916) 734-2893
ROBERT SHAHINYAN
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 3500
SACRAMENTO, CA 95817
Sacramento County (916) 734-2893
JOHN HOVANNES TOROSYAN MD
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 3500
SACRAMENTO, CA 95817
Sacramento County (916) 734-2222
MRS. KAITLAN DENISE COBB M.D.
Urology
4860 Y ST STE 3500
SACRAMENTO, CA 95817
Sacramento County (916) 734-2893
LESLIE DIANA BERNAL CHARONDO MD
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 3500
SACRAMENTO, CA 95817
Sacramento County (916) 734-2893
ALEXEI KOPELEVICH
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 3500
SACRAMENTO, CA 95817
Sacramento County (916) 734-2823
DR. RAUL I CLAVIJO M.D.
Urology
4860 Y ST STE 3500
SACRAMENTO, CA 95817
Sacramento County (916) 734-2222
HAN HEE DANIEL KIM
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 3500
SACRAMENTO, CA 95817
Sacramento County (916) 734-2893

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 Jonathan Moore's NPI number?

The NPI number for Jonathan Moore is 1104479047. It was assigned to this individual provider in the NPPES registry on July 19, 2019.

Where is Jonathan Moore located?

Jonathan Moore practices at 4860 Y St Ste 3500, Sacramento, CA 95817. The listed phone number is (916) 734-4561.

What is Jonathan Moore's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Jonathan Moore was last updated on September 28, 2021. 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.