Stanford Mark Moran, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G046555 Issued in CA

Practice address

55 Orinda View Rd
Orinda, CA 94563-1234

Phone

(510) 867-5876

Fax

(925) 317-3956

NPI assigned

Dec 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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 Medicine

State licenses

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1407911100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ORINDA VIEW RD",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945631234",
            "telephone_number": "510-867-5876",
            "fax_number": "925-317-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ORINDA VIEW RD",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945631234",
            "telephone_number": "510-867-5876",
            "fax_number": "925-317-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "STANFORD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-25",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G046555",
            "primary": false
        },
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "CA",
            "license": "G046555",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G046555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Mitchnick, DC
• Mojgan Mehranfard, DDS, Inc.
• Laura Mooney, MSW
• Danielle Nicole Morales, LEP
• Rachel English Moran, MA, LMFT
• Felix Yves Moreau, LMFT
• Kristin Elizabeth Morgenstern, L.AC.
• Zoe Sarah Joan Morrison, M.A.
• Nancy Ann Morrow, DDS
• Julie Ann Moskovitz, MSW

• Internal Medicine Physician in Orinda, CA
• Providers in Orinda, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.