Individual provider Active NPI

Moses Morar

  • Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1134586670
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95003733 Issued in CA
Practice address
2082 Business Center Dr Ste 255
Irvine, CA 92612-1162
Phone
(714) 769-6090
NPI assigned
Jan 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95003733 CA
Nurse Practitioner 363L00000X 95003733 CA Primary

Addresses

Primary practice location

2082 Business Center Dr Ste 255
Irvine, CA 92612-1162

Mailing address

PO Box 6040
Irvine, CA 92616-6040
Phone (714) 769-6090

Other practice location 1

200 W Santa Ana Blvd Ste 801
Santa Ana, CA 92701-4134
Phone (714) 871-5647

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170201000858 CA Practitioner - Nurse Practitioner 2466735253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Psychiatric Group Inc a Medical CorporationGroup PAC ID 1254675812, 2 clinicians

Practice addresses (Care Compare)

2082 Business Ctr Dr
Suite 255
Irvine, CA 92612-1162
Phone (714) 769-6090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95003733CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Farhad Nikoo Inc CurrentSince Jul 21, 2024 Accepting new patients
Alliance Psychiatric Group Inc a Medical Corporation Psychiatric/Mental Health CurrentSince Feb 15, 2018 Accepting new patients

Locations

2082 Business Center Dr
Ste 255
Irvine, CA 92612
Phone (714) 769-6090

23832 Rockfield Blvd
Ste 120
Lake Forest, CA 92630
Phone (949) 212-6228

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1134586670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6040",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926166040",
            "telephone_number": "714-769-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2082 BUSINESS CENTER DR STE 255",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121162",
            "telephone_number": "714-769-6090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Santa Ana Blvd Ste 801",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927014134",
            "country_code": "US",
            "telephone_number": "714-871-5647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAR",
        "first_name": "MOSES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-27",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95003733",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95003733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.