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

Demi Moore

Individual provider Rehabilitation Practitioner · NPI 1831050186

Demi Moore is a Rehabilitation Practitioner in San Leandro, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

2045 Fairmont Dr
San Leandro, CA 94578-1088
Phone: (510) 667-7540
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)

Record details

NPI number1831050186
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 18, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

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