Doctor profile · Federal record
Dr. Kelly Moore, FNP-BC
Family Nurse Practitioner · San Bernardino, CA
- NPI 1649049305
- 3 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
625 Carnegie Dr Ste 120
San Bernardino, CA 924083577
(909) 383-2800
fax (909) 880-0439 - Additional location
-
5120 Woodley Ave
Encino, CA 914361443
(628) 432-7476
fax (888) 385-7037 - Mailing address
-
11542 Cornell Ave
Riverside, CA 925076613
Credentials & registration
- NPI registered
- December 2023 — 3 yrs on file
- Profile last updated
- February 14, 2026
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- California #95028281
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1649049305. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$609
Transactions
5
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 2 | $240.27 | |
| Novo Nordisk Inc | 1 | $124.99 | |
| GlaxoSmithKline, LLC. | 1 | $123.32 | |
| Lilly USA, LLC | 1 | $120.49 |
By nature of payment
Frequently asked questions
What is Dr. Kelly Moore's medical specialty?
Dr. Kelly Moore practices Family Nurse Practitioner in San Bernardino, CA.
Where does Dr. Kelly Moore practice?
Dr. Kelly Moore practices at 625 Carnegie Dr Ste 120, San Bernardino, CA 924083577. Office phone: 9093832800.
What is Dr. Kelly Moore's NPI?
Dr. Kelly Moore's National Provider Identifier (NPI) is 1649049305, issued by NPPES.