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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY MOORE
NPI 1528510385
Student in an Organized Health Care Education/Training Program in Camarillo, CA

Active since October 27, 2016
4000 CALLE TECATE STE 117, CAMARILLO, CA 93012(805) 383-0470 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kelly Moore NPPES

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

KELLY MOORE (NPI 1528510385) is an individual student in an organized health care education/training program in Camarillo, California and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1528510385
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY MOORE
Location Address4000 CALLE TECATE STE 117Camarillo, CA 93012-5285
Mailing Address135 Camino Ruiz Apt 143Camarillo, CA 93012-6757 · (906) 250-6814
Phone(805) 383-0470
Sole ProprietorNo
Enumeration DateOctober 27, 2016
Last NPPES UpdateOctober 22, 2026
NPPES CertifiedOctober 22, 2026
✔ NPI 1528510385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
4000 CALLE TECATE STE 117, Camarillo, CA 93012
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Other Providers at the Same Location NPPES 4

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

KAITLIN BLUM PT, DPT
Physical Therapist
4000 CALLE TECATE STE 117
CAMARILLO, CA 93012
Ventura County (805) 383-0470
SEJAL S. DOSHI MSC.PT
Physical Therapist
4000 CALLE TECATE STE 117, STE 117
CAMARILLO, CA 93012
Ventura County (805) 383-0470
DR. KAREN LYNN JENSEN-VICK DPT, COMT
Physical Therapist
4000 CALLE TECATE STE 117
CAMARILLO, CA 93012
Ventura County (805) 383-0470
CAMARILLO PHYSICAL THERAPY, INC
Physical Therapist
4000 CALLE TECATE STE 117
CAMARILLO, CA 93012
Ventura County (805) 383-0470

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 Kelly Moore's NPI number?

The NPI number for Kelly Moore is 1528510385. It was assigned to this individual provider in the NPPES registry on October 27, 2016.

Where is Kelly Moore located?

Kelly Moore practices at 4000 Calle Tecate Ste 117, Camarillo, CA 93012. The listed phone number is (805) 383-0470.

What is Kelly 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 Kelly Moore was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.