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

Ryan Moore

Individual provider Plastic Surgery Physician · NPI 1356761415

Ryan Moore is a Plastic and Reconstructive Surgery in Newport Beach, California. Graduated from University of California, Irvine, California College of Medicine in 2014, 12 years ago. Practices as a sole proprietor and offers telehealth. Licensed in California.

Years since qualifying
12
Trained at
University of California, Irvine, California College of Medicine
Licensed in
CA
In the registry since
2014
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Practice location Address checks out

1441 Avocado Ave Ste 301
Newport Beach, CA 92660-7704
Phone: (858) 353-6060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence A141603 (CA)

Record details

NPI number1356761415
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 16, 2014
Last updated in NPPESDecember 30, 2021
Certification dateDecember 30, 2021

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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