Active NPI
Jennifer Christine Moranda, FNP
- Nurse Practitioner
- Santa Cruz, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95016810
- Practice address
- 615 Ocean St
Santa Cruz, CA 95060-4005 - Phone
- (831) 425-7991
- NPI assigned
- Mar 18, 2021
- Last updated
- Nov 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95016810 | CA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monica Perlman MD Inc. | Current | Accepting new patients | |
| Doctors on Duty Medical Group, Inc | Current | 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 | Past | Accepting new patients | |
| Cerebral Medical Group, a Professional Corporation | Past | 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.
-
- Urgent Care Clinic/Center
- Salinas, CA
- NPI 1568465466
-
- Psychiatry Physician
- Glendale, CA
- NPI 1992355879
-
- Non-Pharmacy Dispensing Site
- Marina, CA
- NPI 1457793275
-
- Non-Pharmacy Dispensing Site
- Santa Cruz, CA
- NPI 1497197222
-
- Multi-Specialty Clinic/Center
- Temecula, CA
- NPI 1003385071
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.