Kandra Moss
Driver • Antioch, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kandra Moss has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kandra Moss was a registered Driver practicing in Antioch, CA. Throughout an active medical career spanning 1 years, Kandra Moss provided care at the practice location at 5129 RODEO CT until profile deactivation on 2025-05-15.
Practice Location & Contact Primary Location
5129 Rodeo Ct
Antioch, CA 945318128
Specialty Benchmarks & Practice Insights
Comparative analytics for Driver in Antioch, CA
Practicing in Antioch, CA (785 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 172A00000X
A person employed to operate a motor vehicle as a carrier of persons or property.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 15, 2025
NPI status registered as active in NPPES database
Registered at 5129 RODEO CT, ANTIOCH, CA 945318128 (Tel: 9254287772)
Registered at 5129 RODEO CT, ANTIOCH, CA 945318128 (Tel: 9254287772)
Recorded as KANDRA MOSS
Driver
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5129 Rodeo Ct
Antioch, CA 945318128
Phone: 9254287772
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