JASON MOORE – NPI #1679400899
Physical Medicine & Rehabilitation

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

JASON MOORE is a physician located in LOS ANGELES, CA. NPPES recently assigned the NPI number 1679400899 to JASON MOORE on May 04, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2081S0010X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Sports Medicine

The NPI profile was last updated on May 20, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JASON MOORE below.

NPI Profile for
JASON MOORE

NPI Number
1679400899
Enumeration Date

(about a month ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JASON MOORE
Primary location
4061 KARELIA ST
LOS ANGELES, CA 90065-3307
Phone: (323) 309-9919 Fax:
Mailing address
1577 E CHEVY CHASE DR STE 110
GLENDALE, CA 91206-4091
Phone: (323) 309-9919 Fax:
Sole Proprietor
Yes
Updated
Certification Date
May 20, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081S0010X
- Physical Medicine & Rehabilitation / Sports Medicine (Primary)
CA 51739

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.