Individual provider Active NPI

Jennifer Christine Moranda, FNP

  • Nurse Practitioner
  • Santa Cruz, CA
National Provider Identifier
1750967915
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95016810 Issued in CA
Practice address
615 Ocean St
Santa Cruz, CA 95060-4005
Phone
(831) 425-7991
NPI assigned
Mar 18, 2021
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95016810 CA Primary
Primary Care Nurse Practitioner 363LP2300X 95016810 CA

Addresses

Primary practice location

615 Ocean St
Santa Cruz, CA 95060-4005

Mailing address

100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 242-8394

Other practice location 1

340 S Lemon Ave # 9892
Walnut, CA 91789-2706
Phone (415) 403-2156

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230110003217 CA Practitioner - Nurse Practitioner 8921478892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monica Perlman MD IncGroup PAC ID 8820035884, 357 clinicians

Practice addresses (Care Compare)

17585 Harvard Ave
Suite D
Irvine, CA 92614-8545
Phone (858) 554-1212

Merit-based Incentive Payment System (MIPS)

Final score
85.47 of 100Reported as group
Quality
67.19
Promoting interoperability
100
Improvement activities
40
Cost
67.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95016810CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Perlman MD Inc. CurrentSince Aug 4, 2025 Accepting new patients
Doctors on Duty Medical Group, Inc CurrentSince Nov 1, 2022 Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients
Marina Doctors on Duty Past Accepting new patients
Santa Cruz Doctors on Duty PastSince Nov 1, 2022 Accepting new patients
Cerebral Medical Group, a Professional Corporation PastSince Oct 1, 2021 Accepting new patients

Locations

17585 Harvard Ave
Ste D
Irvine, CA 92614
Phone (818) 847-6885

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

3130 Del Monte Blvd
Marina, CA 93933
Phone (831) 883-3330

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

3900 5th Ave
Ste 110
San Diego, CA 92103
Phone (619) 291-5474

615 Ocean St
Santa Cruz, CA 95060
Phone (831) 425-7991

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1750967915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885",
            "telephone_number": "831-242-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 OCEAN ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604005",
            "telephone_number": "831-425-7991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 S Lemon Ave # 9892",
            "address_purpose": "LOCATION",
            "city": "Walnut",
            "state": "CA",
            "postal_code": "917892706",
            "country_code": "US",
            "telephone_number": "415-403-2156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORANDA",
        "first_name": "JENNIFER",
        "middle_name": "CHRISTINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95016810",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95016810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.