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JASON MOORE
NPI 1679400899
Physical Medicine & Rehabilitation - Sports Medicine in Los Angeles, CA

Active since May 04, 2026
4061 KARELIA ST, LOS ANGELES, CA 90065(323) 309-9919 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 20, 2026, May 4, 2026 (2 updates tracked since 2026).

About Jason Moore NPPES

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

JASON MOORE (NPI 1679400899) is an individual sports medicine provider in Los Angeles, California, licensed in California (51739) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1679400899
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameJASON MOORE
Location Address4061 KARELIA STLos Angeles, CA 90065-3307
Mailing Address1577 E Chevy Chase Dr Ste 110Glendale, CA 91206-4091 · (323) 309-9919
Phone(323) 309-9919
Sole ProprietorYes
Enumeration DateMay 4, 2026
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1679400899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in CA · 51739
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
4061 KARELIA ST, Los Angeles, CA 90065
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Jason Moore's NPI number?

The NPI number for Jason Moore is 1679400899. It was assigned to this individual provider in the NPPES registry on May 4, 2026.

Where is Jason Moore located?

Jason Moore practices at 4061 Karelia St, Los Angeles, CA 90065. The listed phone number is (323) 309-9919.

What is Jason Moore's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Jason Moore was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.