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

Dr. Jonathan Moore, MD

Individual provider Urology Physician · NPI 1104479047

Dr. Jonathan Moore, MD is an Urology Physician in Sacramento, California. Licensed in Arizona. Registered with an NPI since 2019.

Licensed in
AZ
In the registry since
2019
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

4860 Y St Ste 3500
Sacramento, CA 95817-2307
Phone: (916) 734-4561
Fax: (916) 734-8094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 57937 (AZ)

Record details

NPI number1104479047
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2019
Last updated in NPPESSeptember 28, 2021
Certification dateSeptember 28, 2021

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