Geneva A Moorad

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Practice address

413 Villa Ticino Dr
Manteca, CA 95337-6457

Phone

(209) 990-8733

NPI assigned

Dec 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Bridges of Hope California

  • Rehabilitation Counselor
  • Stockton, CA
  • NPI 1861212284
  NPD Authorized official

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1144038688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 DORRIS PL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045252",
            "telephone_number": "209-900-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 VILLA TICINO DR",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953376457",
            "telephone_number": "209-990-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORAD",
        "first_name": "GENEVA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perla Montes
• Scott Montgomery, DPT
• Tennille Montgomery
• Haley Lissethe Montiel
• Alexander Montoya
• Gregory J Moore, MD
• Shayla Moore
• Brian David Morales Diaz
• Jason Morales, RCP
• Jessie Rose Morales

• Voluntary or Charitable Agency in Manteca, CA
• Providers in Manteca, CA by specialty
• Voluntary or Charitable Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.