Organization Active NPI

George R. Moro

  • Colon & Rectal Surgery Physician
  • Orange, CA
National Provider Identifier
1528437332
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
G64452 Issued in CA
Legal business name
GEORGE R. MORO
Practice address
1140 W la Veta Ave Ste 830
Orange, CA 92868-4230
Phone
(714) 836-1595
Fax
(714) 836-1598
NPI assigned
Sep 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
George R Moro, M.D.NPI 1255416715
Title
Owner
Phone
(714) 836-1595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X G64452 CA Primary

Addresses

Primary practice location

1140 W la Veta Ave Ste 830
Orange, CA 92868-4230

Mailing address

15707 Rockfield Blvd Ste 200
Irvine, CA 92618-2838
Phone (714) 836-1595

National Provider Directory

National Provider Directory

Locations

15707 Rockfield Blvd
Ste 200
Irvine, CA 92618

1140 W La Veta Ave
Ste 830
Orange, CA 92868
Phone (714) 836-1595

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1528437332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15707 ROCKFIELD BLVD STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182838",
            "telephone_number": "714-836-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 830",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684230",
            "telephone_number": "714-836-1595",
            "fax_number": "714-836-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE R. MORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "MORO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-836-1595",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "G64452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.