Mark Tyler Moore, AUD
NPI 1487002689ActiveIndividual· Audiologist· Santa Clara, CA
Audiologist (AUD) in Santa Clara, California, trained at University of North Carolina at Chapel Hill School of Medicine (class of 2016). Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1487002689 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AUD |
| Sole proprietor | Yes |
| NPI issued | May 27, 2016 |
| Last updated in NPPES | Feb 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 3334 | CA |
| Audiologist | 231H00000X | 9806481-4101 | UT |
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 - Qualified Audiologist (CA) |
|---|
Education and affiliations
| Medical school | University of North Carolina at Chapel Hill School of Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Qualified Audiologist |
Medical group
- Permanente Medical Group IncOakland, CA · 10,996 clinicians
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