TONNIE MOORE PA
NPI 1619997269
Physician Assistant in Sebastopol, CA

Active since July 19, 2006
555 PETALUMA AVE, SUITE B, SEBASTOPOL, CA 95472(707) 823-7602(707) 823-7625 Get Directions Write a Review

NPPES record last updated: October 9, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tonnie Moore Pa NPPES

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

TONNIE MOORE PA (NPI 1619997269) is an individual physician assistant in Sebastopol, California, licensed in California (PA17329) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1619997269
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTONNIE MOORECredential: PA
Location Address555 PETALUMA AVE, SUITE BSebastopol, CA 95472-4224
Mailing Address555 Petaluma Ave, Suite BSebastopol, CA 95472-4224 · (707) 823-7602 · Fax (707) 823-7625
Fax(707) 823-7625
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateOctober 9, 2009
NPI 1619997269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA17329
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
555 PETALUMA AVE, Sebastopol, CA 95472

Other Identifiers 1

Medicare UPINQ00803OR

Other Providers at the Same Location NPPES 10

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

Orthopaedic Surgery
555 PETALUMA AVE, SUITE B
SEBASTOPOL, CA 95472
Orthopaedic Surgery
555 PETALUMA AVE, SUITE B
SEBASTOPOL, CA 95472
Orthopaedic Surgery
555 PETALUMA AVE, STE B
SEBASTOPOL, CA 95472
Family Medicine
555 PETALUMA AVE, #A
SEBASTOPOL, CA 95472
Orthopaedic Surgery
555 PETALUMA AVE, STE B
SEBASTOPOL, CA 95472
Family Medicine
555 PETALUMA AVE, #A
SEBASTOPOL, CA 95472
Specialist
555 PETALUMA AVE, SUITE C
SEBASTOPOL, CA 95472
Orthopaedic Surgery
555 PETALUMA AVE, STE B
SEBASTOPOL, CA 95472

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 Tonnie Moore's NPI number?

The NPI number for Tonnie Moore is 1619997269. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Tonnie Moore located?

Tonnie Moore practices at 555 Petaluma Ave Suite B, Sebastopol, CA 95472. The listed phone number is (707) 823-7602.

What is Tonnie Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Tonnie Moore was last updated on October 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.