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LAURIE KATHERINE MOORE PA
NPI 1659694057
Physician Assistant in Pismo Beach, CA

Active since March 12, 2010
921 OAK PARK BLVD STE 100A, PISMO BEACH, CA 93449(805) 474-9143(805) 474-9569 Get Directions Write a Review

NPPES record last updated: September 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laurie Katherine Moore Pa NPPES

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

LAURIE KATHERINE MOORE PA (NPI 1659694057) is an individual physician assistant in Pismo Beach, California, licensed in California (20878) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1659694057
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAURIE KATHERINE MOORECredential: PA
Location Address921 OAK PARK BLVD STE 100APismo Beach, CA 93449-3400
Mailing Address921 Oak Park Blvd Ste 100aPismo Beach, CA 93449-3400 · (805) 474-9143 · Fax (805) 474-9569
Phone(805) 474-9143
Fax(805) 474-9569
Sole ProprietorNo
Enumeration DateMarch 12, 2010
Last NPPES UpdateSeptember 27, 2010
✔ NPI 1659694057 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 · 20878
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.
921 OAK PARK BLVD STE 100A, Pismo Beach, CA 93449
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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 Laurie Moore's NPI number?

The NPI number for Laurie Moore is 1659694057. It was assigned to this individual provider in the NPPES registry on March 12, 2010.

Where is Laurie Moore located?

Laurie Moore practices at 921 Oak Park Blvd Ste 100A, Pismo Beach, CA 93449. The listed phone number is (805) 474-9143.

What is Laurie 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 Laurie Moore was last updated on September 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.