Individual provider Active NPI

Emma C Morton-Bours, M.D.

  • Internal Medicine Physician
  • Portola Valley, CA
National Provider Identifier
1316003528
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A89011 Issued in CA
Practice address
130 Portola Rd Ste C
Portola Valley, CA 94028-7850
Phone
(650) 851-6000
Fax
(650) 851-9701
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A89011 CA Primary

Addresses

Primary practice location

130 Portola Rd Ste C
Portola Valley, CA 94028-7850

Mailing address

130 Portola Rd Ste C
Portola Valley, CA 94028-7850
Phone (650) 851-6000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140403002282 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6406818640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A89011CAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: emma.morton-bours@1384432730116.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1316003528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PORTOLA RD STE C",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287850",
            "telephone_number": "650-851-6000",
            "fax_number": "650-851-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PORTOLA RD STE C",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287850",
            "telephone_number": "650-851-6000",
            "fax_number": "650-851-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON-BOURS",
        "first_name": "EMMA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2023-02-27",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A89011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portola Valley, CA

Sources for this page

Verify at the official NPI Registry.