Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. SALLY J MOORE PA-C
NPI 1942243944
Physician Assistant - Medical in Kilauea, HI

Active since June 14, 2006
2490 OKA ST, KILAUEA, HI 96754(808) 828-1418(808) 828-1666 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Sally J Moore Pa-c NPPES

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

MRS. SALLY J MOORE PA-C (NPI 1942243944) is an individual medical provider in Kilauea, Hawaii, licensed in Hawaii (16) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1942243944
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. SALLY J MOORECredential: PA-C
Location Address2490 OKA STKilauea, HI 96754-5332
Mailing Address3667 Anini RdKilauea, HI 96754-5212 · (808) 828-1150 · Fax (808) 828-9714
Fax(808) 828-1666
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1942243944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in HI · 16
2490 OKA ST, Kilauea, HI 96754

Other Providers at the Same Location NPPES 8

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

Family Medicine
2490 OKA ST
KILAUEA, HI 96754
Internal Medicine
2490 OKA ST
KILAUEA, HI 96754
Family Medicine
2490 OKA ST
KILAUEA, HI 96754
Clinic/Center
2490 OKA ST
KILAUEA, HI 96754
Internal Medicine
2490 OKA ST
KILAUEA, HI 96754
Family Medicine
2490 OKA ST
KILAUEA, HI 96754
Physical Therapist
2490 OKA ST
KILAUEA, HI 96754
Clinic/Center
2490 OKA ST
KILAUEA, HI 96754

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 Sally Moore's NPI number?

The NPI number for Sally Moore is 1942243944. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Sally Moore located?

Sally Moore practices at 2490 Oka St, Kilauea, HI 96754. The listed phone number is (808) 828-1418.

What is Sally Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Sally Moore was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.