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MR. DOMINIC J MOORE
NPI 1912669847
Peer Specialist in Indio, CA

Active since October 07, 2021
44199 MONROE ST, INDIO, CA 92201(760) 863-8341 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 10, 2023, Oct 7, 2021 (2 updates tracked since 2021).

About Mr. Dominic J Moore NPPES

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

MR. DOMINIC J MOORE (NPI 1912669847) is an individual peer specialist in Indio, California, licensed in California (GKJBRVZWLCYMONP) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1912669847
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. DOMINIC J MOORE
Location Address44199 MONROE STIndio, CA 92201-3096
Mailing Address44199 Monroe StIndio, CA 92201-3096 · (760) 863-8341
Phone(760) 863-8341
Sole ProprietorNo
Enumeration DateOctober 7, 2021
Last NPPES UpdateMay 10, 20232 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
✔ NPI 1912669847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · GKJBRVZWLCYMONP
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
44199 MONROE ST, Indio, CA 92201
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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.

ANTHONY ENRIQUE GONZALEZ
Rehabilitation Practitioner
44199 MONROE ST
INDIO, CA 92201
Riverside County (951) 715-5050
MS. GRACIE GARCIA
Counselor (Addiction (Substance Use Disorder))
44199 MONROE ST
INDIO, CA 92201
Riverside County (760) 770-2267
SAMUEL MURILLO CADC A063110823
Counselor (Addiction (Substance Use Disorder))
44199 MONROE ST
INDIO, CA 92201
Riverside County (951) 602-3424
ZULAIMA AYLA CASTANEDA
Case Manager/Care Coordinator
44199 MONROE ST
INDIO, CA 92201
Riverside County (951) 715-5050
ALEXANDRO FAUSTO SANCHEZ
Case Manager/Care Coordinator
44199 MONROE ST
INDIO, CA 92201
Riverside County (951) 470-8345
MANUEL AVILA
Case Manager/Care Coordinator
44199 MONROE ST
INDIO, CA 92201
Riverside County (760) 863-3828
MS. DANNELLE JOY KOHNERT
Case Manager/Care Coordinator
44199 MONROE ST
INDIO, CA 92201
Riverside County (760) 863-8262
MS. BEVERLY JANE DIERKING BHS-LLL
Case Manager/Care Coordinator
44199 MONROE ST
INDIO, CA 92201
Riverside County (951) 751-5050

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 Dominic Moore's NPI number?

The NPI number for Dominic Moore is 1912669847. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Where is Dominic Moore located?

Dominic Moore practices at 44199 Monroe St, Indio, CA 92201. The listed phone number is (760) 863-8341.

What is Dominic Moore's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Dominic Moore was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.