Individual provider Active NPI

Eduardo Radames Morales, MD

  • Psychiatry Physician
  • Elk Grove, CA
National Provider Identifier
1346456571
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A49963 Issued in CA
Practice address
9956 Carico Way
Elk Grove, CA 95757-6376
Phone
(619) 742-6153
Fax
(916) 896-0232
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X A49963 CA
Psychiatry Physician 2084P0800X A49963 CA Primary

Addresses

Primary practice location

9956 Carico Way
Elk Grove, CA 95757-6376

Mailing address

9956 Carico Way
Elk Grove, CA 95757-6376
Phone (619) 742-6153

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
I20201211000673 CA Practitioner - Psychiatry 4284046467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York Medical College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San JoaquinGroup PAC ID 6002703436, 199 clinicians

Practice addresses (Care Compare)

1212 N California St
Stockton, CA 95202-1552
Phone (209) 468-8700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A49963CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Behavioral Health Services Current Accepting new patients
San Joaquin County Behavioral Health Services CurrentSince Sep 13, 2024 Accepting new patients
County of San Joaquin CurrentSince Sep 13, 2024 Accepting new patients
Sacramento Native American Health Center Inc CurrentSince Apr 3, 2024 Accepting new patients

Locations

2020 J St
Sacramento, CA 95811
Phone (916) 341-0575

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: eduardo.morales@4285.securemail.prognocis.com
  • Direct secure messaging: eduardo.morales.p1@direct.tpcp.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1346456571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9956 CARICO WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957576376",
            "telephone_number": "619-742-6153",
            "fax_number": "916-262-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9956 CARICO WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957576376",
            "telephone_number": "619-742-6153",
            "fax_number": "916-896-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "EDUARDO",
        "middle_name": "RADAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A49963",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A49963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.