Active NPI
Robert Edward Morris, M.D.
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1043327315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G31324
- Practice address
- 10833 Le Conte Ave
12-441 MDCC
Los Angeles, CA 90095-3075 - Phone
- (310) 206-3952
- Fax
- (310) 206-0209
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G31324 | CA | Primary |
Addresses
Primary practice location
10833 Le Conte Ave
12-441 MDCC
Los Angeles, CA 90095-3075
Mailing address
10833 Le Conte Ave
12-441 MDCC
Los Angeles, CA 90095-3075
Phone (310) 206-3952
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G313240 | Medicaid | CA | |
| GR0053510 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31324 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| G31324 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCLA Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- rmorris43124@direct.uclahealth.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical & Laboratory Immunology (Allergy & Immunology) Physician
- Los Angeles, CA
- NPI 1255528055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1043327315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10833 LE CONTE AVE",
"address_2": "12-441 MDCC",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900953075",
"telephone_number": "310-206-3952",
"fax_number": "310-206-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10833 LE CONTE AVE",
"address_2": "12-441 MDCC",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900953075",
"telephone_number": "310-206-3952",
"fax_number": "310-206-0209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G31324",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G313240",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0053510",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.