Steven James Moran, D.C.
Individual provider Active NPI Chiropractor · Prunedale, CA
NPI 1689701583 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689701583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 16758 (CA)
- Practice address
- 595 Paradise Rd
Prunedale, CA 93907-8738 - Phone
- (831) 320-2710
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16758 | CA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16758 | CA | Yes |
Addresses
Primary practice location
595 Paradise Rd
Prunedale, CA 93907-8738
Mailing address
595 Paradise Rd
Prunedale, CA 93907-8738
Phone (831) 320-2710
Other providers in Prunedale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.