Active NPI
Jorge Luis Moran, M.D.
- General Practice Physician
- Inglewood, CA
National Provider Identifier
1699790667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A63662
- Practice address
- 210 S Locust St
Inglewood, CA 90301-2304 - Phone
- (310) 673-9920
- Fax
- (310) 673-9919
- NPI assigned
- Jul 12, 2006
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A63662 | CA | Primary |
Addresses
Primary practice location
210 S Locust St
Inglewood, CA 90301-2304
Mailing address
210 S Locust St
Inglewood, CA 90301-2304
Phone (310) 673-9920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
210 S Locust St
Inglewood, CA 90301-2304
Phone (310) 673-9920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jorge L Moran MD Inc | General Practice | Current | Accepting new patients |
| BVC Therapy Group | Past | Accepting new patients | |
| Mahfouz M. Michael,M.D.,Inc. | General Practice | Past | Accepting new patients |
| Spinal Rehabilitation Medical Group Inc | Past | Accepting new patients | |
| Mahfouz M. Michael,M.D.,Inc. | Past | Accepting new patients | |
| Eladh, LP | Past | Accepting new patients |
Locations
210 S Locust St
Inglewood, CA 90301
Phone (213) 481-1241
12340 Santa Monica Blvd
Ste 101
Los Angeles, CA 90025
Phone (310) 458-1259
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 6
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.
-
- General Practice Physician
- Inglewood, CA
- NPI 1487795753
-
- Physical Therapist
- Buena Park, CA
- NPI 1255472221
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417957473
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1093934986
-
- Internal Medicine Physician
- San Fernando, CA
- NPI 1609095587
General Practice
-
- Physical Therapist
- Santa Monica, CA
- NPI 1326113580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395792000000",
"number": "1699790667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S LOCUST ST",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903012304",
"telephone_number": "310-673-9920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S LOCUST ST",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903012304",
"telephone_number": "310-673-9920",
"fax_number": "310-673-9919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "JORGE",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2014-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A63662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.