Clinica Medica de la Mora Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A507691 Issued in CA

Legal business name

CLINICA MEDICA DE LA MORA INC

Practice address

995 Gateway Center Way Ste 202
San Diego, CA 92102-4545

Phone

(619) 264-3107

Fax

(619) 264-6927

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Fernando Becerra

Title

Office Manager

Phone

(619) 264-3107

Specialties & licenses 1

Addresses

Tax ID family

Clinica Medica de la Mora2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clinica Medica de la Mora Inc

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1649598772
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Oscar Manuel De la Mora, M.D.

  • Pediatrics Physician
  • San Diego, CA
  • NPI 1982703898
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669533774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 GATEWAY CENTER WAY STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024545",
            "telephone_number": "619-264-3107",
            "fax_number": "619-264-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 GATEWAY CENTER WAY STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024545",
            "telephone_number": "619-264-3107",
            "fax_number": "619-264-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICA DE LA MORA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BECERRA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-264-3107"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A507691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa A Cline
• Clinica del Angel
• Clinica Internacional Buena Salud Inc
• Clinica Medica de la Mora
• Clinica Medica de la Mora Inc
• Clinica Medica Pediatrica Inc
• Donna M Clint
• Cara Marie Clinton, PT, DPT
• Clipson & Osterloh, Apc
• Breanna M Cloer

• Pediatrics Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.