Active NPI
George Robert Moro, M.D.
- Colon & Rectal Surgery Physician
- Orange, CA
National Provider Identifier
1255416715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- G64452
- Practice address
- 1140 W la Veta Ave
Suite 830
Orange, CA 92868-4223 - Phone
- (714) 836-1595
- Fax
- (714) 836-1598
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | G64452 | CA | Primary |
Addresses
Primary practice location
1140 W la Veta Ave
Suite 830
Orange, CA 92868-4223
Mailing address
1140 W la Veta Ave
Suite 830
Orange, CA 92868-4223
Phone (714) 836-1595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G64452 | CA | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George R. Moro | Colon & Rectal Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Colon & Rectal Surgery Physician
- Orange, CA
- NPI 1528437332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255416715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 W LA VETA AVE",
"address_2": "SUITE 830",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684223",
"telephone_number": "714-836-1595",
"fax_number": "714-836-1598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 W LA VETA AVE",
"address_2": "SUITE 830",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684223",
"telephone_number": "714-836-1595",
"fax_number": "714-836-1598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORO",
"first_name": "GEORGE",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "CA",
"license": "G64452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.