Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexandra Moore, MD

Individual provider Surgery Physician · NPI 1902268253

Alexandra Moore, MD is a General Surgery in Vallejo, California. Qualified in 2016, 10 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
10
Licensed in
CA, TX
In the registry since
2016
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

975 Sereno Dr
Vallejo, CA 94589-2441
Phone: (925) 708-8981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X · Licence A153908 (CA)
Surgery Physician Taxonomy 208600000X · Licence U3949 (TX)
Surgical Oncology Physician Taxonomy 2086X0206X · Licence U3949 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902268253
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2016
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024
Mailing address26 Flagstone Ct, Alamo, CA 94507-1601

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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