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

Evan Moore

Individual provider Physician Assistant · NPI 1376315614

Evan Moore is a Physician Assistant in Brawley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

207 W Legion Rd
Brawley, CA 92227-7780
Phone: (760) 351-3333
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA63931 (CA)

Record details

NPI number1376315614
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 30, 2023
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024
Mailing address2461 Starlight Gln, Escondido, CA 92026-3858

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