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

Mr. Cody J Moore

Individual provider Marriage & Family Therapist · NPI 1598631434

Mr. Cody J Moore is a Marriage and Family Therapist in Santa Ana, California. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2025

Practice location Address checks out

1900 E 4th St
Santa Ana, CA 92705-3910
Phone: (833) 579-4848
Fax: (714) 967-4575
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT158413 (CA)

Record details

NPI number1598631434
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 16, 2025
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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