Individual provider · Type 1 NPI

Kaidi Moore, PA-C

Physician Assistant · Stanford, CA

NPI number 1780177212 Active

Practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X55656 (CA)
Medical Physician Assistant 363AM0700X55656 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1780177212

Kaidi Moore, PA-C's National Provider Identifier is 1780177212, issued on Jun 9, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Stanford, CA. The record was last updated on Dec 19, 2025.