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

Krista Mary Ann Moorman

Individual provider Physician Assistant · NPI 1982366993

Krista Mary Ann Moorman is a Physician Assistant in San Diego, California. Practices as a sole proprietor. Licensed in California and Utah.

Licensed in
CA, UT
In the registry since
2021
Specialties on file
3

Practice location Address checks out

3900 Fifth Ave Ste 110
San Diego, CA 92103-3122
Phone: (858) 552-1212
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60443 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 14214136-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 14214136-8906 (UT)

Record details

NPI number1982366993
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 6, 2021
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

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