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

David J. Moore, MD

Individual provider Vascular Surgery Physician · NPI 1205984085

David J. Moore, MD is a Vascular Surgery in Panorama City, California. Graduated from Medical College of Wisconsin in 1984, 42 years ago. Practices with Practica Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
42
Trained at
Medical College of Wisconsin
Licensed in
CA
In the registry since
2007
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

13652 Cantara St
Panorama City, CA 91402-5423
Phone: (818) 375-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence G68167 (CA)

Record details

NPI number1205984085
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESDecember 2, 2021

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1984 (42 years in practice)
Group practice Practica Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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