Individual provider Active NPI

Clarissa Moramarco, RN

  • Registered Nurse
  • San Diego, CA
National Provider Identifier
1649599986
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
258839 Issued in CA
Practice address
600 B St Ste 1570
San Diego, CA 92101-4560
Phone
(619) 615-0439
Fax
(619) 615-3197
NPI assigned
May 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 258839 CA Primary

Addresses

Primary practice location

600 B St Ste 1570
San Diego, CA 92101-4560

Mailing address

600 B St Ste 1570
San Diego, CA 92101-4560
Phone (619) 615-0439

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
258839CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1649599986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 B ST STE 1570",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014560",
            "telephone_number": "619-615-0439",
            "fax_number": "619-615-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 B ST STE 1570",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014560",
            "telephone_number": "619-615-0439",
            "fax_number": "619-615-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAMARCO",
        "first_name": "CLARISSA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "258839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.