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

Individual provider Physician Assistant · NPI 1992798706

Debora Marie Moore, PAC is a Physician Assistant in Santa Maria, California. Qualified in 1989, 37 years ago. Accepts Medicare assignment. Licensed in Alabama, California and North Carolina.

Years since qualifying
37
Licensed in
AL, CA, NC
In the registry since
2005
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

116 S Palisade Dr Ste 210
Santa Maria, CA 93454-8906
Phone: (805) 934-2488
Fax: (805) 934-2480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA53892 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA.966 (AL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 101190 (NC)

Record details

NPI number1992798706
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 26, 2005
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Santa Maria