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

Lisa Moore

Individual provider Certified Registered Nurse Anesthetist · NPI 1679955801

Lisa Moore is a Certified Registered Nurse Anesthetist (CRNA) in Orange, California. Qualified in 2015, 11 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1481 Meads
Orange, CA 92869
Phone: (714) 420-6516
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1403 N Tustin Ave Ste 100, Santa Ana, CA 92705-8691 — (714) 633-1338

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95000411 (CA)

Record details

NPI number1679955801
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 24, 2015
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022
Mailing address1482 Meads, Orange, CA 92869

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Orange