Robert Bruce Moricca, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

G49411 Issued in CA

Practice address

320 Superior Ave
Suite 200
Newport Beach, CA 92663-2741

Phone

(949) 642-6200

Fax

(949) 642-9359

NPI assigned

Aug 7, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mesa Pulmonary Group, Inc.

  • Pulmonary Disease Physician
  • Costa Mesa, CA
  • NPI 1821610874
  NPD

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1902815822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE",
            "address_2": "SUITE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632741",
            "telephone_number": "949-642-6200",
            "fax_number": "949-642-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE",
            "address_2": "SUITE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632741",
            "telephone_number": "949-642-6200",
            "fax_number": "949-642-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORICCA",
        "first_name": "ROBERT",
        "middle_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G49411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G49411",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0077190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashraf Morgan
• Brianna Morgan, PSY.D.
• Shannon Dee Morgan, M.S., A.T.C.
• William Roy Morgan, MD
• Kristina Mori, MD
• Margaret Ann Morley, NP
• Jihan Morris
• Shelley Rae Morrison, NP
• Lindsay Liliana Morrissey
• Kathy Morse, RD

• Pulmonary Disease Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.