Active NPI
Cecilia Rene Morales, PA-C
- Physician Assistant
- Mesa, AZ
National Provider Identifier
1790495927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9695
- Practice address
- 10238 E Hampton Ave Ste 501
Mesa, AZ 85209-3321 - Phone
- (480) 889-1573
- NPI assigned
- Nov 29, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9695 | AZ | Primary |
| Physician Assistant | 363A00000X | PA62006 | CA |
Addresses
Primary practice location
10238 E Hampton Ave Ste 501
Mesa, AZ 85209-3321
Mailing address
40 Valley Stream Pkwy Ste 100
Malvern, PA 19355-1407
Phone (849) 240-0534
Other practice location 1
18511 Highlander Medics St
Fort Bliss, TX 79906-5327
Phone (915) 742-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9695 | AZ | MD | Physician Assistant |
| PA62006 | CA | MD | Physician Assistant |
Organizations & group practices 1
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.
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- Mesa, AZ
- NPI 1528673092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1790495927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 VALLEY STREAM PKWY STE 100",
"city": "MALVERN",
"state": "PA",
"postal_code": "193551407",
"telephone_number": "849-240-0534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10238 E HAMPTON AVE STE 501",
"city": "MESA",
"state": "AZ",
"postal_code": "852093321",
"telephone_number": "480-889-1573"
}
],
"practiceLocations": [
{
"address_1": "18511 Highlander Medics St",
"address_purpose": "LOCATION",
"city": "Fort Bliss",
"state": "TX",
"postal_code": "799065327",
"country_code": "US",
"telephone_number": "915-742-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORALES",
"first_name": "CECILIA",
"middle_name": "RENE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-29",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "9695",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA62006",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.