Blanca Leticia Mora, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 18649 Issued in CA

Practice address

707 S Garfield Ave
Ste. 201
Alhambra, CA 91801-5859

Phone

(626) 656-1260

Fax

(626) 656-1264

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arthritis and Osteoporosis Medical Center, IncGroup PAC ID 4789671066, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Arthritis and Osteoporosis Medical Center, Inc

  • Rheumatology Physician
  • Monterey Park, CA
  • NPI 1245340231
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154490118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S GARFIELD AVE",
            "address_2": "STE. 201",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015859",
            "telephone_number": "626-656-1260",
            "fax_number": "626-656-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S GARFIELD AVE",
            "address_2": "STE. 201",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015859",
            "telephone_number": "626-656-1260",
            "fax_number": "626-656-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "BLANCA",
        "middle_name": "LETICIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 18649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "PA 18649",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monterey Park Urgent Care Apc
• Cristal Ivette Monterosa
• Monica Montes
• Theodore-Kelmer Sarao Monzon, RN
• Katherine Dianne Moore, OTR/L
• Sofia Primavera Mora
• Bonnie Sue Morales, FNP, RN
• Pamela Guadalupe Morales
• Amber Moreno
• Morpheus Anesthesia Medical Corporation

• Physician Assistant in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.