Jonathan Tucker Moore, OTR/L
Occupational Therapist · Mountain View
- Medicare standing
- 2 flags on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
- 1 Medical Board action on record
Offices
1 location
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Jonathan Tucker Moore’s office at (650) 968-2990 to ask if they take your plan before you enroll.
California Medical Board record
Licence G19759 · Deceased
Licence status: Deceased · since 1970 · Medical College of Wisconsin. Board flags: Probation Completed.
Licensee is deceased.
Matched on the licence number without its letter prefix; check the name before relying on it.
Public record actions
| 2014-09-12 | Board disciplineDiscipline | License surrendered 07/07/93; license reinstated and placed on probation on 01/29/07 and this probation completed on 09/12/14. · 20 2006175593 |
Professional record
- NPI
- 1306517768
- Licence
- CA 19759California G19759: Deceased
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 225X00000X (225X00000X)
- Mailing address
- 1266 Priscilla Dr, San Jose, CA, 95129
- NPI first listed
- 2021-09-24
- NPI last updated
- 2021-09-24
- NPI record certified
- 2021-09-24
This is when the NPI record was last certified, not a medical board exam.