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NPI 1912714866ActiveOrganization· Community Health Worker· Gardena, CA
Community Health Worker in Gardena, California, registered in NPPES in December 2024. The authorized official on file is Dayna Moore, LPCC, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1912714866 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 13, 2024 |
| Last updated in NPPES | Nov 26, 2025 |
| Certified by provider | Nov 26, 2025 |
Specialties and licenses
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 Part B Supplier - Clinic/Group Practice (CA) |
|---|
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All 24 Community Health Worker providers in Gardena · All Community Health Worker providers in California