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

Individual provider Certified Registered Nurse Anesthetist · NPI 1053970103

Rodrick Wayne Moore Sr., CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Los Angeles, California. Qualified in 2017, 9 years ago. Practices with Down Below Certified Registered Nursing Anesthesia PC, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2019
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

4060 Whittier Blvd
Los Angeles, CA 90023-2526
Phone: (323) 268-5514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95001146 (CA)

Record details

NPI number1053970103
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJune 12, 2019
Last updated in NPPESJune 12, 2019

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Down Below Certified Registered Nursing Anesthesia Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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