Shavon Moore, MD
NPI 1053682773 · Child & Adolescent Psychiatry Physician · San Diego, CA
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shavon Moore, MD is a Child & Adolescent Psychiatry Physician provider in San Diego, CA (NPI 1053682773).
Provider details
- NPI number
- 1053682773
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- A152789 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3020 Childrens WaySan Diego, CA 92123-4223Phone: (858) 576-1700
Registry dates
- Enumerated
- 2012-01-26
- Last updated
- 2023-02-06
- Certified
- 2023-02-06
Frequently asked questions
- What is Shavon Moore's NPI number?
- Shavon Moore's National Provider Identifier (NPI) is 1053682773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shavon Moore's specialty?
- Shavon Moore is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Shavon Moore located?
- Shavon Moore's practice location on file with NPPES is 200 W Arbor Dr, San Diego, CA 92103-9000.
- What is Shavon Moore's phone number?
- The practice phone number listed in the NPPES registry for Shavon Moore is (800) 926-8273.
- Does Shavon Moore accept Medicare?
- Shavon Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shavon Moore's NPI active?
- Yes — Shavon Moore's NPI (1053682773) is active in the NPPES registry as of the last update on 2023-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.