Ruben Mora-Roman Jr.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A18309 Issued in CA

Practice address

372 W Cypress Ave
Reedley, CA 93654-2113

Phone

(559) 638-8155

NPI assigned

Mar 24, 2017

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: rmora42074@altamed.direct-ci.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Aaron K Tran MD Inc

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1376824854
  Medicare reassignment NPD
• Reedley Community Hospital

  • Rural Health Clinic/Center
  • Hanford, CA
  • NPI 1417930892
  NPD (past)
• Torrance Premier Health, Inc.

  • Adult Medicine Physician
  • Torrance, CA
  • NPI 1487244034
  NPD (past)

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1386175990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 W CYPRESS AVE",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542113",
            "telephone_number": "559-638-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA-ROMAN",
        "first_name": "RUBEN",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A18309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mennonite Brethren Homes, Inc
• Cindy Mercado, NP
• Kelly Miller, PA-C
• Christopher Mohr, PT
• Mindi Mohr, MPT
• Nadeem Ayoub Ali Mousa, MD
• Douglas Mulligan
• Grant Jiro Nakamura, MD
• Christy E Nance-Chastain, PNP
• Michael Natz, OT

• Family Medicine Physician in Reedley, CA
• Providers in Reedley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.