Individual provider Active NPI

Manuel Moran Jr., NP

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1174259592
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022129 Issued in CA
Practice address
2051 Marengo St
Los Angeles, CA 90033-1352
Phone
(323) 409-3577
Fax
(323) 226-8340
NPI assigned
Jul 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95022129 CA Primary

Addresses

Primary practice location

2051 Marengo St
Los Angeles, CA 90033-1352

Mailing address

800 S Beach Blvd
La Habra, CA 90631-6484
Phone (323) 409-1000

Other practice location 1

1207 E Florida Ave
Hemet, CA 92543-4513
Phone (951) 925-2523

Other practice location 2

800 S Beach Blvd
LA Habra, CA 90631-6484
Phone (323) 718-4319

Other identifiers 1

IdentifierTypeStateIssuer
95022129MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL manuel.moran5@yahoo.com

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
I20221102000757 CA Practitioner - Nurse Practitioner 8820465990 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dispatchhealth-Ca PCGroup PAC ID 4789086455, 29 clinicians
Apple Urgent Care IncGroup PAC ID 9436192713, 8 clinicians

Practice addresses (Care Compare)

140 Centennial Way
Tustin, CA 92780-3711
Phone (706) 315-2523

25970 Iris Ave
Suite 3B
Moreno Valley, CA 92551-1660
Phone (951) 924-2775

Hospital & facility affiliations

  • Los Angeles General Medical Center Hospital, Los Angeles, CA, CCN 050373

Merit-based Incentive Payment System (MIPS)

Final score
75.98 of 100Reported as group
Quality
66.36
Improvement activities
40
Cost
81.59

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oneil Enterprises Inc CurrentSince May 1, 2024 Accepting new patients
Apple Urgent Care, Inc CurrentSince Jan 1, 2023 Accepting new patients
Dispatchhealth-Ca, PC CurrentSince Dec 26, 2023 Accepting new patients
Mannys Nursing & Health Services Corp Family Current Accepting new patients
Apple Urgent Care, Inc CurrentSince Jan 1, 2023 Accepting new patients
Professional Portable Radiologic Services Inc. PastSince Dec 26, 2023 Accepting new patients
Callon Doc Past Accepting new patients

Locations

301 N Pepper Ave
Ste 100
Colton, CA 92324
Phone (909) 639-5400

4139 Ball Rd
Cypress, CA 90630
Phone (657) 377-0740

3220 Yorba Linda Blvd
Fullerton, CA 92831
Phone (714) 465-4127

1207 E Florida Ave
Hemet, CA 92543
Phone (951) 925-2523

5424 Woodruff Ave
Lakewood, CA 90713
Phone (562) 452-0038

604 E Huntington Dr
Ste B
Monrovia, CA 91016

25970 Iris Ave
Ste 3B
Moreno Valley, CA 92551
Phone (951) 924-2775

1688 N Perris Blvd
Ste G2
Perris, CA 92571
Phone (951) 940-4500

720 Carnegie Dr
Ste 140
San Bernardino, CA 92408

4719 Viewridge Ave
Ste 130
San Diego, CA 92123
Phone (303) 500-1815

140 Centennial Way
Tustin, CA 92780
Phone (706) 315-2523

Interoperability endpoints

  • Direct secure messaging: manuel.moran.1@13869.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1174259592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S BEACH BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316484",
            "telephone_number": "323-409-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MARENGO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331352",
            "telephone_number": "323-409-3577",
            "fax_number": "323-226-8340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 E Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925434513",
            "country_code": "US",
            "telephone_number": "951-925-2523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 S Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Habra",
            "state": "CA",
            "postal_code": "906316484",
            "country_code": "US",
            "telephone_number": "323-718-4319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MANUEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-27",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95022129",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "manuel.moran5@yahoo.com",
            "affiliation": "N",
            "address_1": "2051 Marengo St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900331352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.