Doctor profile · Federal record
Dr. Laurie Moore, PA
Physician Assistant · Pismo Beach, CA
- NPI 1659694057
- 16 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
921 Oak Park Blvd Ste 100A
Pismo Beach, CA 934493400
(805) 474-9143
fax (805) 474-9569
Credentials & registration
- NPI registered
- March 2010 — 16 yrs on file
- Profile last updated
- September 27, 2010
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- California #20878
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1659694057. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$58
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 2 | $58.24 |
By nature of payment
Frequently asked questions
What is Dr. Laurie Moore's medical specialty?
Dr. Laurie Moore practices Physician Assistant in Pismo Beach, CA.
Where does Dr. Laurie Moore practice?
Dr. Laurie Moore practices at 921 Oak Park Blvd Ste 100A, Pismo Beach, CA 934493400. Office phone: 8054749143.
What is Dr. Laurie Moore's NPI?
Dr. Laurie Moore's National Provider Identifier (NPI) is 1659694057, issued by NPPES.