Individual provider Active NPI

Carla Asante McMorris, D.C.

  • Chiropractor
  • Moreno Valley, CA
National Provider Identifier
1821269440
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30515 Issued in CA
Practice address
24580 Sunnymead Blvd
H
Moreno Valley, CA 92553-3761
Phone
(951) 640-1401
NPI assigned
Mar 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30515 CA Primary

Addresses

Primary practice location

24580 Sunnymead Blvd
H
Moreno Valley, CA 92553-3761

Mailing address

2272 Dove CT
San Jacinto, CA 92582-3704
Phone (951) 640-1401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30515CAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1206230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1821269440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2272 DOVE CT",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925823704",
            "telephone_number": "951-640-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24580 SUNNYMEAD BLVD",
            "address_2": "H",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533761",
            "telephone_number": "951-640-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMORRIS",
        "first_name": "CARLA",
        "middle_name": "ASANTE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-23",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.