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

Dr. Mark Tyler Moore, AUD

Individual provider Audiologist · NPI 1487002689

Dr. Mark Tyler Moore, AUD is a Qualified Audiologist in Santa Clara, California. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2016, 10 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California and Utah.

Years since qualifying
10
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
CA, UT
In the registry since
2016
Specialties on file
2
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

700 Lawrence Expy
Santa Clara, CA 95051-5173
Phone: (423) 360-3883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 3334 (CA)
Audiologist Taxonomy 231H00000X · Licence 9806481-4101 (UT)

Record details

NPI number1487002689
Entity typeIndividual (Type 1)
GenderMale
Credentials AUD
Sole proprietorYes
NPI enumeratedMay 27, 2016
Last updated in NPPESFebruary 11, 2022
Mailing address700 Lawrence Expy, Santa Clara, CA 95051-5173

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
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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