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ETHEL FAY MOORE CPRP
NPI 1104944792
Rehabilitation Practitioner in Lancaster, CA

Active since March 26, 2007
43423 DIVISION ST STE 107, LANCASTER, CA 93535(661) 726-2850(661) 726-2854 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethel Fay Moore Cprp NPPES

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

ETHEL FAY MOORE CPRP (NPI 1104944792) is an individual rehabilitation practitioner in Lancaster, California, licensed in California (NA) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1104944792
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameETHEL FAY MOORECredential: CPRP
Location Address43423 DIVISION ST STE 107Lancaster, CA 93535-4640
Mailing Address14575 Stonecress StVictorville, CA 92394-7021
Phone(661) 726-2850
Fax(661) 726-2854
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1104944792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
License✔ Licensed in CA · NA
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License NA (CA)
43423 DIVISION ST STE 107, Lancaster, CA 93535
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Other Providers at the Same Location NPPES 11

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

MS. NATALIE EMERALD HOLCOMB
Case Manager/Care Coordinator
43423 DIVISION ST STE 107
LANCASTER, CA 93535
Los Angeles County (661) 726-2850
GUYTON COLANTUONO
Case Manager/Care Coordinator
43423 DIVISION ST STE 107
LANCASTER, CA 93535
Los Angeles County (661) 726-2850
MS. BERNICE OGUIN OSBORN NA
Case Manager/Care Coordinator
43423 DIVISION ST STE 107
LANCASTER, CA 93535
Los Angeles County (661) 726-2850
JAMIE HANNA GONZALEZ
Rehabilitation Practitioner
43423 DIVISION ST STE 107
LANCASTER, CA 93535
Los Angeles County (661) 726-2850
MR. DAVID JOSEPH MARTINEZ
Rehabilitation Practitioner
43423 DIVISION ST STE 107
LANCASTER, CA 93535
Los Angeles County (661) 726-2850
CATHY REILLY
Community Health Worker
43423 DIVISION ST STE 107
LANCASTER, CA 93535
Los Angeles County (661) 726-2850
JAMES LAKE
Rehabilitation Practitioner
43423 DIVISION ST STE 107
LANCASTER, CA 93535
Los Angeles County (661) 726-2850
JOHN MICHAEL GLOVER
Social Worker
43423 DIVISION ST STE 107
LANCASTER, CA 93535
Los Angeles County (661) 726-2850

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 Ethel Moore's NPI number?

The NPI number for Ethel Moore is 1104944792. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Ethel Moore located?

Ethel Moore practices at 43423 Division St Ste 107, Lancaster, CA 93535. The listed phone number is (661) 726-2850.

What is Ethel Moore's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Ethel Moore was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.