Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720953011 Individual Practitioner Male Practitioner

Tyrone Darian Moore

Peer Specialist • El Cajon, CA

Professional Overview & Biography Verified Profile Summary

Tyrone Moore is a registered healthcare professional specializing in Peer Specialist in El Cajon, CA. Practice services are available at 1527 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1527 E Main St

El Cajon, CA 920215902

Telephone 6199713464
Fax 6194420457

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in El Cajon, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
38 Specialists

Practicing in El Cajon, CA (4567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-07
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License CA AZITGU

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Keoni Asuncion

Peer Specialist

NPI 1417801382
Abel Walser

Community Health Worker

NPI 1629942628
Skylar Phillips

Peer Specialist

NPI 1821979899

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 07, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2025

Registered at 1527 E MAIN ST, EL CAJON, CA 920215902 (Tel: 6199713464)

📍
Updated Business Mailing Address October 07, 2025

Registered at 1527 E MAIN ST, EL CAJON, CA 920215902 (Tel: 6199713464)

👤
Provider Name / Credentials Updated October 07, 2025

Recorded as TYRONE MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2025

Peer Specialist (License #AZITGU in CA)

🟢
Initial NPI Registration & Enumeration October 07, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720953011
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2025
Last Update: October 07, 2025
Sole Proprietor: No

Mailing Address

1527 E Main St

El Cajon, CA 920215902

Phone: 6199713464

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.