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DR. EDWARD ANTHONY MOORE M.D.
NPI 1730269945
Psychiatry & Neurology - Addiction Psychiatry in Beverly Hills, CA

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
9171 WILSHIRE BLVD, SUITE 615, BEVERLY HILLS, CA 90210(310) 550-5810(310) 550-5811 Get Directions Write a Review

NPPES record last updated: July 27, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Edward Anthony Moore M.d. NPPES

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

DR. EDWARD ANTHONY MOORE M.D. (NPI 1730269945) is an individual addiction psychiatry provider in Beverly Hills, California, licensed in California (A35781) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (1979).

NPPES Registry Identity

NPI1730269945
Entity TypeIndividualMale
Primary Taxonomy2084P0802X
Provider Legal NameDR. EDWARD ANTHONY MOORECredential: M.D.
Location Address9171 WILSHIRE BLVD, SUITE 615Beverly Hills, CA 90210-5530
Mailing Address9171 Wilshire Blvd, Suite 615Beverly Hills, CA 90210-5530 · (310) 550-5810 · Fax (310) 550-5811
Phone(310) 550-5810
Fax(310) 550-5811
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1979
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 27, 2007
✔ NPI 1730269945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License✔ Licensed in CA · A35781
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A35781 (CA)
9171 WILSHIRE BLVD, Beverly Hills, CA 90210
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edward Anthony Moore M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244263622
PECOS Enrollment IDI20050916000542
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Edward Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Clinics
4.1 mi
Community/Behavioral Health
815 N EL CENTRO AVE
Los Angeles, CA 90038
  • Reassigned Medicare billing, California enrollment
  • 156 clinicians in this Medicare group
NPI 1114162260 (323) 463-2119

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DARYN PLANCHER PH.D.,
Psychologist (Clinical)
9171 WILSHIRE BLVD, PENTHOUSE
BEVERLY HILLS, CA 90210
Los Angeles County (310) 709-3088
PROSTAR SPEECH THERAPY
Speech-Language Pathologist
9171 WILSHIRE BLVD
BEVERLY HILLS, CA 90210
Los Angeles County (310) 935-0030
MR. NICHOLAS STEPHEN BETTY LMFT
Marriage & Family Therapist
9171 WILSHIRE BLVD, SUITE 615
BEVERLY HILLS, CA 90210
Los Angeles County (661) 244-7445
JACQUELINE NATES
Marriage & Family Therapist
9171 WILSHIRE BLVD, SUITE 660
BEVERLY HILLS, CA 90210
Los Angeles County (310) 803-5434
DR. SUE SUE HARRIS PH.D.
Psychologist
9171 WILSHIRE BLVD, PENTHOUSE
BEVERLY HILLS, CA 90210
Los Angeles County (818) 753-6655
JONATHAN CLARK MCCOWN L.C.S.W.
Social Worker (Clinical)
9171 WILSHIRE BLVD, PH #2
BEVERLY HILLS, CA 90210
Los Angeles County (310) 980-1365
BONNIE LEVITSKY PHD
Psychologist (Clinical)
9171 WILSHIRE BLVD, PENTHOUSE LEVEL
BEVERLY HILLS, CA 90210
Los Angeles County (310) 849-6745
LIFESPAN HEALTH NETWORK, A PSYCHOLOGY CORPORATION
Psychologist (Clinical)
9171 WILSHIRE BLVD, SUITE 600
BEVERLY HILLS, CA 90210
Los Angeles County (310) 248-4949

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 Edward Moore's NPI number?

The NPI number for Edward Moore is 1730269945. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Edward Moore located?

Edward Moore practices at 9171 Wilshire Blvd Suite 615, Beverly Hills, CA 90210. The listed phone number is (310) 550-5810.

What is Edward Moore's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Is Edward Moore enrolled in Medicare?

Yes. Edward Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Edward Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Moore reassigns Medicare benefits to Pacific Clinics (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edward Moore was last updated on July 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.