John Moore, D.O.
NPI 1063412070 · Family Medicine Physician · Walla Walla, WA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Moore, D.O. is a Family Medicine Physician provider in Walla Walla, WA (NPI 1063412070).
Provider details
- NPI number
- 1063412070
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 01022001116 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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)
- 40220 Saddlebrook StMurrieta, CA 92563-6100Phone: (951) 600-9640
Registry dates
- Enumerated
- 2005-08-01
- Last updated
- 2020-03-25
- Certified
- 2020-03-25
Frequently asked questions
- What is John Moore's NPI number?
- John Moore's National Provider Identifier (NPI) is 1063412070, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Moore's specialty?
- John Moore is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is John Moore located?
- John Moore's practice location on file with NPPES is 55 W Tietan St, Walla Walla, WA 99362-4498.
- What is John Moore's phone number?
- The practice phone number listed in the NPPES registry for John Moore is (509) 525-3720.
- Does John Moore accept Medicare?
- John Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Moore's NPI active?
- Yes — John Moore's NPI (1063412070) is active in the NPPES registry as of the last update on 2020-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.