Lawrence A Mora, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A71399 Issued in CA

Practice address

5901 W Olympic Blvd Ste 404
Los Angeles, CA 90036-4669

Phone

(323) 456-0185

Fax

(323) 443-1744

NPI assigned

Jul 13, 2006

Last updated

Feb 24, 2021By the provider in NPPES

Sex

Male

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 2

Electronic endpoints 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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of New Mexico School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Neurology Procedure Center LLCGroup PAC ID 2961948153, 2 clinicians

Multi Specialty Medical Group Professional CorporationGroup PAC ID 0941792402, 4 clinicians

Will Family Medical Group a Professional CorporationGroup PAC ID 5193095115, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Promise Hospice, Inc Hospice, Los Angeles, CA, CCN 551729
• Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
• Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: lawrence.mora.1@31716.direct.athenahealth.com
• Direct secure messaging: lawrence.mora.p64@direct.mydohc.nextgenshare.com
• Direct secure messaging: lawrence.mora@theci.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Multi Specialty Medical Group Professional Corporation

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1487530226

  Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Lawrence a. Mora MD Inc

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1912930512
  Medicare reassignment NPD Authorized official
• Will Family Medical Group, a Professional Corporation

  • Family Medicine Physician
  • Palm Desert, CA
  • NPI 1356875157
  Medicare reassignment Care Compare group NPD
• Shadi Medical Corporation

  • Urgent Care Clinic/Center
  • Los Angeles, CA
  • NPI 1104997311
  Medicare reassignment NPD
• Neurology Procedure Center LLC

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1164270591
  NPD Authorized official
• Multi Specialty Medical Group Professional Corporation

  • General Practice Physician
  • Bakersfield, CA
  • NPI 1255136040
  NPD
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  NPD (past)
• NPC Medical Group, Professional Corporation

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1528876547

  Family Medicine

  NPD (past)
• PS Health Corporation

  • Sleep Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1558693531
  NPD (past)
• The Methodist Hospital

  dba Houston Methodist Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1548387418
  NPD (past)

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

• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  Care Compare affiliation
• Southern California Healthcare System, Inc

  dba Southern California Hospital at Hollywood, at Van Nuys, at Culver City

  • General Acute Care Hospital
  • Hollywood, CA
  • NPI 1023010113
  Care Compare affiliation

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1205851615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364669",
            "telephone_number": "323-456-0185",
            "fax_number": "323-443-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364669",
            "telephone_number": "323-456-0185",
            "fax_number": "323-443-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "LAWRENCE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A71399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A713990",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205851615",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://pm.officeally.com/pm/Login.aspx",
            "affiliation": "N",
            "address_1": "5901 W Olympic Blvd Ste 404",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900364669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julianna Mora
• Julissa Mora
• Karen Mora, MSW, PPSC
• Kevin Mora
• Kimberly Ann Mora
• Livier Alexandra Mora, DDS
• Luis Roberto Mora, RD
• Manuel Mora
• Mario Mora, SUDRC
• Richard Mora Jr.

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.