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

Mrs. Jennifer Nishkian Moore, PA-C

Individual provider Physician Assistant · NPI 1801070933

Mrs. Jennifer Nishkian Moore, PA-C is a Physician Assistant in Tustin, California. Qualified in 2007, 19 years ago. Practices with Oneil Enterprises Inc, a 16-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

13095 Jamboree Rd
Tustin, CA 92782-9150
Phone: (714) 838-8254
Fax: (714) 838-9463
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 19486 (CA)

Record details

NPI number1801070933
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 26, 2007
Last updated in NPPESMay 16, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Oneil Enterprises Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tustin