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

Tonnie Moore, PA

Individual provider Physician Assistant · NPI 1619997269

Tonnie Moore, PA is a Physician Assistant in Sebastopol, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

555 Petaluma Ave Ste B
Sebastopol, CA 95472-4224
Phone: (707) 823-7602
Fax: (707) 823-7625
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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 PA17329 (CA)

Record details

NPI number1619997269
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESOctober 9, 2009
Mailing address555 Petaluma Ave, Suite B, Sebastopol, CA 95472-4224

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