Rodrick Wayne Moore Sr., CRNA
NPI 1053970103ActiveIndividual· Nurse Anesthetist, Certified Registered· Los Angeles, CA
Nurse Anesthetist, Certified Registered (CRNA) with Down Below Certified Registered Nursing Anesthesia PC, practicing in Los Angeles, California. Medicare paid $26,966 for services to 115 patients in 2024. Lists Barstow Community Hospital as a hospital affiliation.
Overview
| NPI | 1053970103 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | Yes |
| NPI issued | Jun 12, 2019 |
| Last updated in NPPES | Jun 12, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 95001146 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 115 |
|---|---|
| Services billed | 168 across 38 procedure codes |
| Paid by Medicare | $26,966 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Down Below Certified Registered Nursing Anesthesia PCBarstow, CA · 5 clinicians
Hospital affiliation
- Barstow Community HospitalBarstow, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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