Victoria Mora, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0008415 Issued in MD

Practice address

1130 Annapolis Rd
Odenton, MD 21113-1648

Phone

(410) 672-2255

NPI assigned

Jul 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1780310235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S CURLEY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242233",
            "telephone_number": "281-948-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 ANNAPOLIS RD",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131648",
            "telephone_number": "410-672-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern Therapy Solutions
• Ikran Mohamud
• Abdel Pepouna Moluh
• Amanda Melissa Montie, PT, DPT
• Steven A Moore, LCPC,LPC-S, NCC, MAC
• Lashae Morant
• Skylar Morley
• Kira Cymone Mosley, LCSW-C
• Annie Vanessa Mouafo, NP-FAMILY
• Shawna Spears Mudd, DNP, CRNP

• Physician Assistant in Odenton, MD
• Providers in Odenton, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.