OMEGA MOORE MEDICAL ASSISTANT
NPI 1891318911
Counselor - Addiction (Substance Use Disorder) in Hawthorne, CA

Active since May 22, 2020
12917 CERISE AVE, HAWTHORNE, CA 90250(310) 675-1949 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Omega Moore Medical Assistant NPPES

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

OMEGA MOORE MEDICAL ASSISTANT (NPI 1891318911) is an individual addiction (substance use disorder) provider in Hawthorne, California and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1891318911
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameOMEGA MOORECredential: MEDICAL ASSISTANT
Location Address12917 CERISE AVEHawthorne, CA 90250-5520
Mailing Address12917 Cerise AveHawthorne, CA 90250-5520
Sole ProprietorNo
Enumeration DateMay 22, 2020
NPPES CertifiedMay 22, 2020
NPI 1891318911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
12917 CERISE AVE, Hawthorne, CA 90250

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.

Counselor (Addiction (Substance Use Disorder))
12917 CERISE AVE
HAWTHORNE, CA 90250
Counselor (Addiction (Substance Use Disorder))
12917 CERISE AVE
HAWTHORNE, CA 90250
Health Educator
12917 CERISE AVE
HAWTHORNE, CA 90250
Licensed Vocational Nurse
12917 CERISE AVE
HAWTHORNE, CA 90250
Student in an Organized Health Care Education/Training Program
12917 CERISE AVE
HAWTHORNE, CA 90250
Counselor
12917 CERISE AVE
HAWTHORNE, CA 90250
Counselor (Addiction (Substance Use Disorder))
12917 CERISE AVE
HAWTHORNE, CA 90250
Counselor (Addiction (Substance Use Disorder))
12917 CERISE AVE
HAWTHORNE, CA 90250

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 Omega Moore's NPI number?

The NPI number for Omega Moore is 1891318911. It was assigned to this individual provider in the NPPES registry on May 22, 2020.

Where is Omega Moore located?

Omega Moore practices at 12917 Cerise Ave, Hawthorne, CA 90250. The listed phone number is (310) 675-1949.

What is Omega Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Omega Moore was last updated on May 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.