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DEMI MOORE
NPI 1831050186
Rehabilitation Practitioner in San Leandro, CA

Active since November 18, 2025
2045 FAIRMONT DR, SAN LEANDRO, CA 94578(510) 667-7540 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Demi Moore NPPES

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

DEMI MOORE (NPI 1831050186) is an individual rehabilitation practitioner in San Leandro, California and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1831050186
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameDEMI MOORE
Location Address2045 FAIRMONT DRSan Leandro, CA 94578-1088
Mailing Address27861 Havana AveHayward, CA 94544-5056 · (510) 688-1998
Phone(510) 667-7540
Sole ProprietorNo
Enumeration DateNovember 18, 2025
Last NPPES UpdateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
✔ NPI 1831050186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
2045 FAIRMONT DR, San Leandro, CA 94578
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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.

SADAYA ZIMMERLE L.C.S.W., MSW
Social Worker (Clinical)
2045 FAIRMONT DR, EDEN CSC
SAN LEANDRO, CA 94578
Alameda County (510) 667-3913
MISS JACQUELINE M SCHIANO
Rehabilitation Counselor
2045 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 667-7455
ALAMEDA COUNTY
Community/Behavioral Health
2045 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (800) 878-1313
EDEN ADULT COMMUNITY SUPPORT CENTER
Community/Behavioral Health
2045 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 667-7500
MARIAM TOOR
Student in an Organized Health Care Education/Training Program
2045 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (151) 066-7540
DR. PETER LAWRENCE LAVALLE M.D.
Psychiatry & Neurology (Psychiatry)
2045 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 667-7508
DR. LORNA BLAND MD
Psychiatry & Neurology (Psychiatry)
2045 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (251) 363-1833
CATHERINE CHEN
Counselor (Mental Health)
2045 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 667-7540

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 Demi Moore's NPI number?

The NPI number for Demi Moore is 1831050186. It was assigned to this individual provider in the NPPES registry on November 18, 2025.

Where is Demi Moore located?

Demi Moore practices at 2045 Fairmont Dr, San Leandro, CA 94578. The listed phone number is (510) 667-7540.

What is Demi Moore's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Demi Moore was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.