Michael J. Morris, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G-23554 Issued in CA

Practice address

PO Box 4574
Crestline, CA 92325-4574

Phone

(909) 533-7180

Fax

(909) 338-5211

NPI assigned

Sep 27, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.morris.p1@direct.scfhc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beaver Medical Group P C

  dba Optum

  • Family Medicine Physician
  • Redlands, CA
  • NPI 1649503319
  Medicare reassignment NPD
• Beaver Medical Group P C

  • Physical Therapist
  • Redlands, CA
  • NPI 1427090281
  NPD
• Cassidy Medical Group Inc.

  • Multi-Specialty Clinic/Center
  • Vista, CA
  • NPI 1215003470
  NPD
• Centers for Family Medicine GP

  dba Optumcare Medical Group

  • Family Medicine Physician
  • Los Alamitos, CA
  • NPI 1467598243
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013008648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4574",
            "city": "CRESTLINE",
            "state": "CA",
            "postal_code": "923254574",
            "telephone_number": "909-533-7180",
            "fax_number": "909-338-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 4574",
            "city": "CRESTLINE",
            "state": "CA",
            "postal_code": "923254574",
            "telephone_number": "909-533-7180",
            "fax_number": "909-338-5211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 W Hospitality Ln",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083334",
            "country_code": "US",
            "telephone_number": "909-885-0282",
            "fax_number": "909-889-7367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 W Hospitality Ln",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083334",
            "country_code": "US",
            "telephone_number": "909-885-0282",
            "fax_number": "909-889-7367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G-23554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00G235540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Jeanette Mejia
• Jennifer Melendez
• Louise Melendez
• Jessica L Meyle, RD, L.D.N.
• Cailey Anne Milton, ACSW
• Mountain Counseling & Training, Inc.
• Mountain High School
• Mountain Nursing Care Services
• Sarah Muecke, BA
• Amanda Myers

• General Practice Physician in Crestline, CA
• Providers in Crestline, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.