Active NPI
Jose Luis Moral, MD
- Psychiatry Physician
- Norwalk, CA
National Provider Identifier
1285680355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A29757
- Practice address
- 11401 S Bloomfield Ave
Norwalk, CA 90650 - Phone
- (562) 863-7011
- Fax
- (562) 864-4560
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A29757 | CA | Primary |
Addresses
Primary practice location
11401 S Bloomfield Ave
Norwalk, CA 90650
Mailing address
11401 Bloomfield
Norwalk, CA 90650
Phone (916) 654-2431
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 |
|---|---|---|---|
| A29757 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375401600000",
"number": "1285680355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11401 BLOOMFIELD",
"city": "NORWALK",
"state": "CA",
"postal_code": "90650",
"telephone_number": "916-654-2431",
"fax_number": "916-654-3186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11401 S BLOOMFIELD AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "90650",
"telephone_number": "562-863-7011",
"fax_number": "562-864-4560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAL",
"first_name": "JOSE",
"middle_name": "LUIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2013-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A29757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.