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

Fiona Moore

Individual provider Physician Assistant · NPI 1588545602

Fiona Moore is a Physician Assistant in San Diego, California. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

2790 Truxtun Rd Ste 100
San Diego, CA 92106-6135
Phone: (619) 610-9790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA66203 (CA)

Record details

NPI number1588545602
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedSeptember 8, 2025
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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