Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1205927274 Deactivated / Inactive NPI Male Practitioner

Dr. Randall B Moore , MD

Surgery • Los Alamitos, 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, Dr. Randall Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 27, 2006
NPI Deactivation Date June 14, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Randall Moore, MD was a registered Surgery practicing in Los Alamitos, CA. Throughout an active medical career spanning 15 years, Dr. Moore provided care at the practice location at 3791 KATELLA AVE until profile deactivation on 2021-06-14.

Practice Location & Contact Primary Location

Practice Address

3791 Katella Ave
#201

Los Alamitos, CA 90720

Telephone 5625966736
Fax 5625965387
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Los Alamitos, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.4 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
9 Specialists

Practicing in Los Alamitos, CA (3346 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA C27697

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

10 Associated Practitioners
Dr. Fritz Baumgartner , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1134237761

Doctor of Medicine (M.D.)

NPI 1134328859

Doctor of Medicine (M.D.)

Peggy Kohl , CRNFA, CNS

Clinical Nurse Specialist

NPI 1649288119

CRNFA, Clinical Nurse Specialist

Erin Teramoto , PA-C

Physician Assistant

NPI 1669188843

Physician Assistant (Certified)

NPI 1699794081

PHYSICIANASSISTANT

Lauren Dolan , PA-C

Physician Assistant

NPI 1700107091

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated June 14, 2021

Record deactivated on June 14, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3791 KATELLA AVE, #201, LOS ALAMITOS, CA 90720 (Tel: 5625966736)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3791 KATELLA AVE, #201, LOS ALAMITOS, CA 90720 (Tel: 5625966736)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RANDALL MOORE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #C27697 in CA)

🟢
Initial NPI Registration & Enumeration September 27, 2006

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 Dr. Randall Moore. Be the first to share your experience!

Sign in to leave a review for Dr. Randall Moore

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

NPI Administrative Meta

NPI Number: 1205927274
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2006
Last Update: July 08, 2007
Deactivation Date: June 14, 2021

Mailing Address

3791 Katella Ave, #201

Los Alamitos, CA 90720

Phone: 5625966736

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.