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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASON EDWARD MOORE

Active

JASON EDWARD MOORE is a Case Manager healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1043979479 is currently active in the NPPES registry. Verify at CMS.

Case Manager · SOUTH LAKE TAHOE, CA

Registration Details

NPI Number
1043979479
Provider Type
Individual
Gender
Male
NPI Issued
Dec 13, 2021 (4.4856947782872 yrs)
Last Updated
Jun 24, 2024

Practice Information

Address
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA, 961506305
Browse CA providers · Browse ZIP 96150
Phone
5305737970
Primary Specialty
Case Manager
171M00000X
Additional Specialty
Case Manager

Other Case Manager Providers in SOUTH LAKE TAHOE, CA

Name Credential NPI
MRS. DELICIA MARILYN SPEES I 1003090648
SHEREE SMAIL 1144494501
NICHOLAS JAMES EDGE 1770939308
REBECCA RENEE ROJAS 1699215608
ALEXIS MARIE WILSON B.S. 1508396722
SIERRA ROSE FOWZER 1992274542
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.