Individual provider Active NPI

Nicholas Mora, MS, ATC, CES

  • Athletic Trainer
  • Oroville, CA
National Provider Identifier
1043024284
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
2380 Las Plumas Ave
Oroville, CA 95966-6999
Phone
(530) 538-2310
NPI assigned
Feb 6, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2380 Las Plumas Ave
Oroville, CA 95966-6999

Mailing address

1040 Hobart St Unit 2
Chico, CA 95926-4541

Other practice location 1

7250 Mesa College Dr
San Diego, CA 92111-4902
Phone (619) 388-2421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1043024284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 HOBART ST UNIT 2",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959264541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 LAS PLUMAS AVE",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666999",
            "telephone_number": "530-538-2310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7250 Mesa College Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921114902",
            "country_code": "US",
            "telephone_number": "619-388-2421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORA",
        "first_name": "NICHOLAS",
        "credential": "MS, ATC, CES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.