Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Senan Isabelle Kakpo-Moore, PA-C

Individual provider Physician Assistant · NPI 1629670203

Senan Isabelle Kakpo-Moore, PA-C is a Physician Assistant in Victorville, California. Qualified in 2021, 5 years ago. Practices with Dignity Health, a 87-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

12998 Hesperia Rd Ste 204
Victorville, CA 92395-8317
Phone: (760) 780-4960
Fax: (760) 780-4964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60419 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1629670203
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 10, 2020
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Dignity Health — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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