Individual provider Active NPI

Christine Susanna Mora

  • Case Manager/Care Coordinator
  • Vista, CA
National Provider Identifier
1366076960
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1926 Via Ctr
Vista, CA 92081-6056
Phone
(949) 474-1493
NPI assigned
Feb 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1926 Via Ctr
Vista, CA 92081-6056

Mailing address

25841 Van Leuven St Apt 179
Loma Linda, CA 92354-2557
Phone (909) 838-1172

Other practice location 1

1520 N Mountain Ave Ste 206
Ontario, CA 91762-1133
Phone (909) 689-4135

Other practice location 2

612 S Myrtle Ave Ste 100
Monrovia, CA 91016-3406
Phone (626) 775-7888

Other practice location 3

21600 Oxnard St Ste 1030
Woodland Hills, CA 91367-5085
Phone (877) 206-1009

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1366076960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25841 VAN LEUVEN ST APT 179",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542557",
            "telephone_number": "909-838-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 VIA CTR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816056",
            "telephone_number": "949-474-1493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 N Mountain Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917621133",
            "country_code": "US",
            "telephone_number": "909-689-4135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 S Myrtle Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Monrovia",
            "state": "CA",
            "postal_code": "910163406",
            "country_code": "US",
            "telephone_number": "626-775-7888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21600 Oxnard St Ste 1030",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913675085",
            "country_code": "US",
            "telephone_number": "877-206-1009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORA",
        "first_name": "CHRISTINE",
        "middle_name": "SUSANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.