Individual provider Active NPI

Darby Mora, PA-C

  • Physician Assistant
  • Redondo Beach, CA
National Provider Identifier
1538649736
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
59160 Issued in CA
Practice address
725 S Pacific Coast Hwy
Redondo Beach, CA 90277-4226
Phone
(424) 296-3100
NPI assigned
Aug 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 022457 NY
Medical Physician Assistant 363AM0700X 5922 CT
Physician Assistant 363A00000X 59160 CA Primary

Addresses

Primary practice location

725 S Pacific Coast Hwy
Redondo Beach, CA 90277-4226

Mailing address

1968 S Coast Hwy # 2255
Laguna Beach, CA 92651-3681
Phone (949) 613-3170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA, NH, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20181127001676 NY Practitioner - Physician Assistant 0345584645 Reassigns benefits to 2 organizations
I20210513001609 MA Practitioner - Physician Assistant 0345584645
I20210513001688 NH Practitioner - Physician Assistant 0345584645
I20250415000349 CA Practitioner - Physician Assistant 0345584645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

2613 Pacific Coast Hwy
Torrance, CA 90505-7037
Phone (424) 625-0220

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

28900 S Western Ave
Rancho Palos Verdes, CA 90275-0805
Phone (424) 702-0500

3215 N Sepulveda Blvd
Manhattan Beach, CA 90266-2453
Phone (424) 295-0540

725 S Pacific Coast Hwy
Redondo Beach, CA 90277-4226
Phone (424) 296-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59160CAMDPharmacist
022457NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Exer Medical Corporation CurrentSince Sep 1, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Oct 12, 2018 Accepting new patients
Fpa Hospital Based CurrentSince Aug 1, 2020 Accepting new patients
Montefiore Medical Center CurrentSince Oct 12, 2018 Accepting new patients
Convenientmd LLC Past Accepting new patients

Locations

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

725 S Pacific Coast Hwy
Redondo Beach, CA 90277
Phone (424) 296-3100

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

111 E 210th St
Bronx, NY 10467

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

Organizations & group practices 7

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 1

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": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1538649736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY # 2255",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681",
            "telephone_number": "949-613-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S PACIFIC COAST HWY",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774226",
            "telephone_number": "424-296-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "DARBY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "022457",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "5922",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "59160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.