MICHEAL MOORE
NPI 1902277692
Case Manager/Care Coordinator in San Bernardino, CA

Q: What is Micheal Moore's NPI number?

The NPI number for Micheal Moore is 1902277692. It was assigned to this individual provider in the NPPES registry on October 7, 2015.

Q: What is Micheal Moore's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Micheal Moore was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since October 07, 2015

104 W 4TH ST, SAN BERNARDINO, CA 92415(909) 382-7880 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2024, Dec 14, 2021 (2 updates tracked since 2021).

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About Micheal Moore NPPES

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

MICHEAL MOORE (NPI 1902277692) is an individual case manager/care coordinator provider in San Bernardino, California and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1902277692

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameMICHEAL MOORE

Location Address104 W 4TH STSan Bernardino, CA 92415-3222

Mailing Address104 W 4th StSan Bernardino, CA 92415-0035 · (909) 382-7880

Phone(909) 382-7880

Sole ProprietorNo

Enumeration DateOctober 7, 2015

Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2024

✔ NPI 1902277692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

104 W 4TH ST, San Bernardino, CA 92415

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Other Providers at the Same Location NPPES 18

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

MARY VILLAVICENCIO

Case Manager/Care Coordinator