Individual provider Active NPI

Victoria Morimoto, PA-C

  • Physician Assistant
  • Front Royal, VA
National Provider Identifier
1518931591
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008070 Issued in VA
Practice address
120 N Commerce Ave
Front Royal, VA 22630-2660
Phone
(540) 635-0800
Fax
(540) 635-0801
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110008070 VA
Physician Assistant 363A00000X 0110008070 VA Primary

Addresses

Primary practice location

120 N Commerce Ave
Front Royal, VA 22630-2660

Mailing address

3181 SW Sam Jackson Park Rd
Harold Schnitzer Diabetes, Mail Code Op05-DC
Portland, OR 97239-3098
Phone (503) 494-1226

Other practice location 1

135 Memorial Dr
Luray, VA 22835-1016
Phone (540) 743-2887

Other identifiers 1

IdentifierTypeStateIssuer
8101855MedicaidNC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address vmorimoto962060@soc.inova.org
Direct Messaging Address vmorimoto962060@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211130002051 VA Practitioner - Physician Assistant 7517069305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
George Washington University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Memorial Hospital, Inc.Group PAC ID 2365330347, 121 clinicians
Page Memorial Hospital IncGroup PAC ID 8426951203, 81 clinicians

Practice addresses (Care Compare)

120 N Commerce St
Front Royal, VA 22630-2660
Phone (540) 635-0800

120 N Commerce St
Suite 102
Front Royal, VA 22630-4417

125 Memorial Dr
Luray, VA 22835-1016
Phone (540) 743-2822

135 Memorial Dr
Luray, VA 22835-1016
Phone (540) 743-2887

315 W 10TH St
Front Royal, VA 22630-2807
Phone (540) 631-7337

351 Valley Health Way
Front Royal, VA 22630-6480
Phone (540) 636-0300

67 Riverton Commons Dr
Front Royal, VA 22630-6768
Phone (540) 635-0848

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Page Memorial Hospital Inc. CurrentSince Jan 3, 2022 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Jan 3, 2022 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Jan 3, 2022 Accepting new patients
Page Memorial Hospital Inc. Past Accepting new patients
Page Memorial Hospital, Inc. Past Accepting new patients
Warren Memorial Hospital, Inc. Past Accepting new patients
Warren Memorial Hospital Occupaitonal Health Past Accepting new patients

Locations

120 N Commerce Ave
Front Royal, VA 22630
Phone (540) 635-0730

120 N Commerce Ave
Ste 255
Front Royal, VA 22630
Phone (540) 635-0800

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

125 Memorial Dr
Luray, VA 22835
Phone (540) 743-2282

135 Memorial Dr
Luray, VA 22835
Phone (540) 743-2887

220 Campus Blvd
Ste 100
Winchester, VA 22601

Interoperability endpoints

  • Direct secure messaging: vmorimoto962060@valleyhealth.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1518931591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "HAROLD SCHNITZER DIABETES, MAIL CODE OP05-DC",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393098",
            "telephone_number": "503-494-1226",
            "fax_number": "503-494-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N COMMERCE AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302660",
            "telephone_number": "540-635-0800",
            "fax_number": "540-635-0801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Luray",
            "state": "VA",
            "postal_code": "228351016",
            "country_code": "US",
            "telephone_number": "540-743-2887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORIMOTO",
        "first_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110008070",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8101855",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vmorimoto962060@soc.inova.org",
            "affiliation": "N",
            "address_1": "120 N Commerce Ave",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226302660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vmorimoto962060@soc.inova.org",
            "affiliation": "N",
            "address_1": "135 Memorial Dr",
            "city": "Luray",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228351016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

Verify at the official NPI Registry.