Elena Michelle Moran

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95029886 Issued in CA

Practice address

5118 Bluebell Ave
Valley Village, CA 91607-2912

Phone

(954) 895-7049

NPI assigned

Aug 9, 2024

Last updated

Aug 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1336970508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 BLUEBELL AVE",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072912",
            "telephone_number": "954-895-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5118 BLUEBELL AVE",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072912",
            "telephone_number": "954-895-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "ELENA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95029886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Physicians Comfort Care, Inc - Apmc
• Michael Modresky, LMFT
• Iraj Moin, DDS
• Jonathan Clayton Monitz, L.AC, MTOM
• Moradian Dental Corporation, a Professional Corporation (Studio City Smiles)
• Elizabeth Diana Morgan, MA CCC-SLP
• Gurinder Singh Multani, OD
• Cindy Michelle Munoz
• Cody Murray, CMT
• Matteo Renato Muti, PH.D.

• Adult Health Nurse Practitioner in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.