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

Juanita A Moore, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1881920007

Juanita A Moore, PHYSICIANASSISTANT is a Physician Assistant in Rancho Mirage, California. Qualified in 2009, 17 years ago. Practices with Carbon Health Medical Group of California PC, a 332-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2009
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Practice location Address checks out

39000 Bob Hope Dr Emergency Dept
Rancho Mirage, CA 92270-3221
Phone: (760) 773-1221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA20555 (CA)

Record details

NPI number1881920007
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 22, 2009
Last updated in NPPESDecember 14, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Carbon Health Medical Group Of California Pc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Rancho Mirage