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

Jeremy Paul Moore, MD

Individual provider Pediatrics Physician · NPI 1265676274

Jeremy Paul Moore, MD is a Pediatric Medicine in Los Angeles, California. Qualified in 2003, 23 years ago. Practices with The Regents of the University of California, a 1,414-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
23
Licensed in
CA
In the registry since
2009
Specialties on file
2
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

10833 Le Conte Ave B265
Los Angeles, CA 90095-3075
Phone: (310) 825-0867
Fax: (310) 825-9524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A88084 (CA)
Pediatric Cardiology Physician Taxonomy 2080P0202X · Licence A88084 (CA)

Record details

NPI number1265676274
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2009
Last updated in NPPESJune 8, 2013

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice The Regents Of The University Of California — 1414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations15 on file with Medicare

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