Active NPI
Steven James Moran, D.C.
- Chiropractor
- Prunedale, CA
National Provider Identifier
1689701583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16758
- Practice address
- 595 Paradise Rd
Prunedale, CA 93907-8738 - Phone
- (831) 320-2710
- NPI assigned
- Feb 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16758 | CA | Primary |
Addresses
Primary practice location
595 Paradise Rd
Prunedale, CA 93907-8738
Mailing address
595 Paradise Rd
Prunedale, CA 93907-8738
Phone (831) 320-2710
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16758 | CA | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689701583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 PARADISE RD",
"city": "PRUNEDALE",
"state": "CA",
"postal_code": "939078738",
"telephone_number": "831-320-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 PARADISE RD",
"city": "PRUNEDALE",
"state": "CA",
"postal_code": "939078738",
"telephone_number": "831-320-2710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "STEVEN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "16758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prunedale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.