Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MS. ANGELLYCA TARRYN MOORE RN, BSN
NPI 1265351365
Registered Nurse in Oakland, CA

Q: What is Angellyca Moore's NPI number?

The NPI number for Angellyca Moore is 1265351365. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Q: What is Angellyca Moore's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Angellyca Moore was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.

Active since July 13, 2026

7200 BANCROFT AVE STE 133, OAKLAND, CA 94605(510) 553-8500 Get Directions Write a Review

NPPES record added: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Angellyca Tarryn Moore Rn, Bsn NPPES

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

MS. ANGELLYCA TARRYN MOORE RN, BSN (NPI 1265351365) is an individual registered nurse in Oakland, California, licensed in California (95369596) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1265351365

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameMS. ANGELLYCA TARRYN MOORECredential: RN, BSN

Location Address7200 BANCROFT AVE STE 133Oakland, CA 94605-2480

Mailing Address7200 Bancroft Ave Ste 133Oakland, CA 94605-2480 · (510) 553-8500

Phone(510) 553-8500

Sole ProprietorYes

Enumeration DateJuly 13, 2026

Last NPPES UpdateJuly 17, 2026

NPPES CertifiedJuly 17, 2026

✔ NPI 1265351365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in CA · 95369596

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

7200 BANCROFT AVE STE 133, Oakland, CA 94605

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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.

JENNIFER PARDO

Case Manager/Care Coordinator