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JACOB RYAN MOORE
NPI 1346008844
Licensed Vocational Nurse in Fair Oaks, CA

Active since March 08, 2024
10821 FAIR OAKS BLVD, FAIR OAKS, CA 95628(916) 903-7028 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Ryan Moore NPPES

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

JACOB RYAN MOORE (NPI 1346008844) is an individual licensed vocational nurse in Fair Oaks, California, licensed in California (722770) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1346008844
Entity TypeIndividualMale
Primary Taxonomy164X00000X
Provider Legal NameJACOB RYAN MOORE
Location Address10821 FAIR OAKS BLVDFair Oaks, CA 95628-7214
Mailing Address2609 K St Apt 11Sacramento, CA 95816-5112 · (916) 230-5613
Phone(916) 903-7028
Sole ProprietorNo
Enumeration DateMarch 8, 2024
NPPES CertifiedMarch 7, 2024
✔ NPI 1346008844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 722770
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
10821 FAIR OAKS BLVD, Fair Oaks, CA 95628
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Other Providers at the Same Location NPPES 2

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

MARK MELTEN
Counselor (Professional)
10821 FAIR OAKS BLVD
FAIR OAKS, CA 95628
Sacramento County (916) 516-1560
AKUA BEHAVIORAL HEALTH, INC
Substance Abuse Rehabilitation Facility
10821 FAIR OAKS BLVD
FAIR OAKS, CA 95628
Sacramento County (949) 777-2283

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 Jacob Moore's NPI number?

The NPI number for Jacob Moore is 1346008844. It was assigned to this individual provider in the NPPES registry on March 8, 2024.

Where is Jacob Moore located?

Jacob Moore practices at 10821 Fair Oaks Blvd, Fair Oaks, CA 95628. The listed phone number is (916) 903-7028.

What is Jacob Moore's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Jacob Moore was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.