NPIMap

Organization Active NPI

Victor J. Mora D.D.S., Apc

  • Dentist
  • Chula Vista, CA
National Provider Identifier
1477765378
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
VICTOR J. MORA D.D.S., APC
Practice address
480 4TH Ave
Ste 310
Chula Vista, CA 91910-4403
Phone
(619) 425-8060
Fax
(619) 426-8343
NPI assigned
May 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Barbara A Mora
Title
Business Manger
Phone
(619) 425-8060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

480 4TH Ave
Ste 310
Chula Vista, CA 91910-4403

Mailing address

480 4TH Ave
Ste 310
Chula Vista, CA 91910-4403
Phone (619) 425-8060

National Provider Directory

National Provider Directory
Tax ID family
Victor J Mora DDS Apc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

480 Fourth Ave
Ste 310
Chula Vista, CA 91910
Phone (619) 425-8060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477765378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 4TH AVE",
            "address_2": "STE 310",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104403",
            "telephone_number": "619-425-8060",
            "fax_number": "619-426-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 4TH AVE",
            "address_2": "STE 310",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104403",
            "telephone_number": "619-425-8060",
            "fax_number": "619-426-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR J. MORA D.D.S., APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANGER",
        "authorized_official_telephone_number": "619-425-8060"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.