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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ADDIE MOORE
NPI 1154029270
Student in an Organized Health Care Education/Training Program in Gardena, CA

Active since February 17, 2023
1149 W 190TH ST STE 2200, GARDENA, CA 90248(310) 856-0800(855) 568-2494 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2026, Feb 17, 2023 (2 updates tracked since 2023).

About Addie Moore NPPES

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

ADDIE MOORE (NPI 1154029270) is an individual student in an organized health care education/training program in Gardena, California and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1154029270
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameADDIE MOORE
Location Address1149 W 190TH ST STE 2200Gardena, CA 90248-4344
Mailing Address1149 W 190th St Ste 2200Gardena, CA 90248-4344 · (310) 856-0800 · Fax (855) 568-2494
Phone(310) 856-0800
Fax(855) 568-2494
Sole ProprietorNo
Enumeration DateFebruary 17, 2023
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1154029270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1149 W 190TH ST STE 2200, Gardena, CA 90248
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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.

BEATRIZ REYES
Behavior Technician
1149 W 190TH ST STE 2200
GARDENA, CA 90248
Los Angeles County (310) 856-0800
TRACI REEDER
Behavior Technician
1149 W 190TH ST STE 2200
GARDENA, CA 90248
Los Angeles County (310) 856-0800
BRIANA MORAN
Behavior Technician
1149 W 190TH ST STE 2200
GARDENA, CA 90248
Los Angeles County (310) 856-0800
JASMINE AMBER HERRERA
Behavior Technician
1149 W 190TH ST STE 2200
GARDENA, CA 90248
Los Angeles County (310) 856-0800
SHIVANI PATEL
Behavior Technician
1149 W 190TH ST STE 2200
GARDENA, CA 90248
Los Angeles County (310) 856-0800
MARIA ALMARAZ-RODRIGUEZ
Behavior Technician
1149 W 190TH ST STE 2200
GARDENA, CA 90248
Los Angeles County (310) 856-0800
DOMONIQUE DURAN
Behavior Technician
1149 W 190TH ST STE 2200
GARDENA, CA 90248
Los Angeles County (310) 856-0800
SALAR KHORRAMNEZHAD
Behavior Technician
1149 W 190TH ST STE 2200
GARDENA, CA 90248
Los Angeles County (310) 856-0800

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 Addie Moore's NPI number?

The NPI number for Addie Moore is 1154029270. It was assigned to this individual provider in the NPPES registry on February 17, 2023.

Where is Addie Moore located?

Addie Moore practices at 1149 W 190th St Ste 2200, Gardena, CA 90248. The listed phone number is (310) 856-0800.

What is Addie Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Addie Moore was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.