Individual provider Active NPI

Felcar Phil Morada, M.D.

  • Family Medicine Physician
  • Tujunga, CA
National Provider Identifier
1619919180
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A36020 Issued in CA
Practice address
7709 Foothill Blvd
Tujunga, CA 91042-2120
Phone
(818) 352-3146
Fax
(818) 352-8116
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A36020 CA Primary

Addresses

Primary practice location

7709 Foothill Blvd
Tujunga, CA 91042-2120

Mailing address

7709 Foothill Blvd
Tujunga, CA 91042-2120
Phone (818) 352-3146

Other identifiers 4

IdentifierTypeStateIssuer
GR0100020MedicaidCA
ZZZ66291ZOtherCABLUE SHIELD CA
W18496OtherCAMEDICARE PTAN
P00342643OtherCARAILROAD MC

Other names 1

  • Dr. Felcar Luistro Morada Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sunland Medical Group,Inc Family Medicine Past Accepting new patients
Lenity Corporation PastSince Apr 30, 2003 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1619919180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7709 FOOTHILL BLVD",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422120",
            "telephone_number": "818-352-3146",
            "fax_number": "818-352-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7709 FOOTHILL BLVD",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422120",
            "telephone_number": "818-352-3146",
            "fax_number": "818-352-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORADA",
        "first_name": "FELCAR",
        "middle_name": "PHIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A36020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100020",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD CA",
            "identifier": "ZZZ66291Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W18496",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC",
            "identifier": "P00342643",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELCAR",
            "last_name": "MORADA",
            "middle_name": "LUISTRO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tujunga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.