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

Micheal Moore

Individual provider Case Manager/Care Coordinator · NPI 1902277692

Micheal Moore is a Case Manager/Care Coordinator in San Bernardino, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

104 W 4th St
San Bernardino, CA 92415-3222
Phone: (909) 382-7880
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (CA)

Record details

NPI number1902277692
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 7, 2015
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024

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