Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376315614 Individual Practitioner Male Practitioner

Evan Moore

Physician Assistant • Brawley, CA

Professional Overview & Biography Verified Profile Summary

Evan Moore is a registered healthcare professional specializing in Physician Assistant in Brawley, CA. Practice services are available at 207 W LEGION RD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

207 W Legion Rd

Brawley, CA 922277780

Telephone 7603513333
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Brawley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
20 Specialists

Practicing in Brawley, CA (14617 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
61 61 $1224.00 $143.17
99284 Emergency department visit with moderate level of medical decision making
48 48 $833.75 $98.93
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
26 25 $63.00 $6.78

Medical Specialties & State Licenses

CMS Verified: 2024-01-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA63931

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Michael Hall , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003852682

Certified Registered Nurse Anesthetist

Dr. George Rapp , MD

Radiology - Vascular & Interventional Radiology

NPI 1114217015

Doctor of Medicine (M.D.)

Autumn Fornasero , MS PA-C

Physician Assistant - Medical

NPI 1124300959

MSPAC

Francis Lum , CRNA

Nurse Anesthetist, Certified Registered

NPI 1184634339

Certified Registered Nurse Anesthetist

Christopher Thompson , PA-C

Physician Assistant

NPI 1205172491

Physician Assistant (Certified)

NPI 1235212135

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 19, 2024

Registered at 207 W LEGION RD, BRAWLEY, CA 922277780 (Tel: 7603513333)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2024

Physician Assistant (License #PA63931 in CA)

NPI Profile Active October 30, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2023

Registered at 9055 BALBOA AVE, SAN DIEGO, CA 921231509 (Tel: 6198497974)

📍
Updated Business Mailing Address October 30, 2023

Registered at 2461 STARLIGHT GLN, ESCONDIDO, CA 920263858

👤
Provider Name / Credentials Updated October 30, 2023

Recorded as EVAN MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration October 30, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Evan Moore. Be the first to share your experience!

Sign in to leave a review for Evan Moore

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1376315614
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2023
Last Update: January 19, 2024
Sole Proprietor: Yes

Mailing Address

2461 Starlight Gln

Escondido, CA 920263858

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.