Active NPI
Sofia Lucina Moran, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95029887
- Practice address
- 473 E. Carnegie Drive
Suite 200
San Bernardino, CA 92408 - Phone
- (840) 252-7774
- Fax
- (840) 223-5913
- NPI assigned
- Apr 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95029887 | CA | Primary |
Addresses
Primary practice location
473 E. Carnegie Drive
Suite 200
San Bernardino, CA 92408
Mailing address
473 E. Carnegie Drive
Suite 200
San Bernardino, CA 92408
Phone (840) 252-7774
Other names 1
- Lucina Moran Bartlett
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
18191 Von Karman Ave
Suite 100
Irvine, CA 92612-7103
Phone (619) 639-9730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95029887 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mood Clinical, P. C. | Single Specialty | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Single Specialty | Current | Accepting new patients |
| Nebula Health, LLC | Single Specialty | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Single Specialty | Current | Accepting new patients |
| Nebula Health, P. C. | Past | Accepting new patients | |
| Glenn Medical Center, LLC | Past | Accepting new patients |
Locations
18191 Von Karman Ave
Ste 100
Irvine, CA 92612
Phone (530) 889-7293
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940
1686 Barton Rd
Redlands, CA 92373
Phone (909) 558-9200
5900 Brockton Ave
Riverside, CA 92506
Phone (800) 992-0901
6833 Indiana Ave
Ste 101
Riverside, CA 92506
Phone (657) 346-6319
806 Avenida Pico
#I330
San Clemente, CA 92673
Interoperability endpoints
- lbartlett5226@direct.llu.edu
Organizations & group practices 7
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.
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Single Specialty
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- Pediatric Cardiology Physician
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-
- Critical Access Hospital
- Willows, CA
- NPI 1619929759
-
- Psychiatry Physician
- Riverside, CA
- NPI 1770357147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733011200000",
"number": "1104672930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 E. CARNEGIE DRIVE",
"address_2": "SUITE 200",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92408",
"telephone_number": "840-252-7774",
"fax_number": "840-223-5913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 E. CARNEGIE DRIVE",
"address_2": "SUITE 200",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92408",
"telephone_number": "840-252-7774",
"fax_number": "840-223-5913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "SOFIA",
"middle_name": "LUCINA",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-24",
"last_updated": "2024-12-01",
"certification_date": "2024-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95029887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LUCINA",
"last_name": "BARTLETT",
"middle_name": "MORAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.