Individual provider Active NPI

Raphael Adam Morris, MD

  • Psychiatry Physician
  • Del Mar, CA
National Provider Identifier
1801811104
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A92769 Issued in CA
Practice address
1104 Camino del Mar Ste 10
Del Mar, CA 92014-2644
Phone
(858) 775-5233
Fax
(619) 330-7128
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A92769 CA Primary

Addresses

Primary practice location

1104 Camino del Mar Ste 10
Del Mar, CA 92014-2644

Mailing address

3830 Valley Centre Dr Ste 705
PMB 573
San Diego, CA 92130-3061
Phone (858) 775-5233

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070606000764 CA Practitioner - Psychiatry 0345348835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12264 El Camino Real
Suite 202
San Diego, CA 92130-3061
Phone (858) 436-3076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A92769CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Del Mar Brain & Neurostar TMS Inc. CurrentSince Dec 7, 2019 Accepting new patients
Psycare Inc CurrentSince May 2, 2007 Accepting new patients
Raphael a Morris Psychiatry Current Accepting new patients
Brittany Watson NP Nursing Corporation Psychiatry Past Accepting new patients

Locations

2300 Boswell Rd
Ste 275
Chula Vista, CA 91914
Phone (585) 898-0612

1104 Camino del Mar
Ste 10
Del Mar, CA 92014
Phone (619) 894-4489

12264 El Camino Real
Ste 203
San Diego, CA 92130

4550 Kearny Villa Rd
Ste 116
San Diego, CA 92123
Phone (619) 279-1223

12264 El Camino Real
Ste 202
San Diego, CA 92130
Phone (858) 356-0361

3830 Valley Centre Dr
Ste 705
San Diego, CA 92130
Phone (650) 469-0607

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1801811104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 VALLEY CENTRE DR STE 705",
            "address_2": "PMB 573",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303061",
            "telephone_number": "858-775-5233",
            "fax_number": "619-330-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 CAMINO DEL MAR STE 10",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142644",
            "telephone_number": "858-775-5233",
            "fax_number": "619-330-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "RAPHAEL",
        "middle_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A92769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

Verify at the official NPI Registry.