Individual provider Active NPI

Michael C. Morford, M.D.

  • Family Medicine Physician
  • San Pablo, CA
National Provider Identifier
1851389183
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G63977 Issued in CA
Practice address
2089 Vale Rd
Suite 17
San Pablo, CA 94806-3847
Phone
(510) 237-2802
Fax
(916) 239-3612
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G63977 CA Primary

Addresses

Primary practice location

2089 Vale Rd
Suite 17
San Pablo, CA 94806-3847

Mailing address

2160 Appian Way
Suite 200
Pinole, CA 94564-2524
Phone (510) 724-9110

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63977CAMDMental Health Counselor
G63977CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1851389183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 APPIAN WAY",
            "address_2": "SUITE 200",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642524",
            "telephone_number": "510-724-9110",
            "fax_number": "916-239-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 VALE RD",
            "address_2": "SUITE 17",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063847",
            "telephone_number": "510-237-2802",
            "fax_number": "916-239-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORFORD",
        "first_name": "MICHAEL",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G63977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pablo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.