Active NPI
Clinica Medica de la Mora
- Family Medicine Physician
- San Diego, CA
National Provider Identifier
1891657243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CLINICA MEDICA DE LA MORA
- Practice address
- 995 Gateway Center Way Ste 202
San Diego, CA 92102-4545 - Phone
- (619) 264-3107
- NPI assigned
- Nov 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerber Brett
- Title
- Medical Director
- Phone
- (619) 264-3107
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
995 Gateway Center Way Ste 202
San Diego, CA 92102-4545
Mailing address
995 Gateway Center Way Ste 202
San Diego, CA 92102-4545
Phone (619) 264-3107
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Federal Public Health Clinic/Center
- San Diego, CA
- NPI 1770445124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763942400000",
"number": "1891657243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 GATEWAY CENTER WAY STE 202",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921024545",
"telephone_number": "619-264-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 GATEWAY CENTER WAY STE 202",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921024545",
"telephone_number": "619-264-3107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICA MEDICA DE LA MORA",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-24",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A",
"authorized_official_last_name": "BRETT",
"authorized_official_first_name": "GERBER",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "619-264-3107"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.