Active NPI
Sergio Morales, P.A.
- Physician Assistant
- Paramount, CA
National Provider Identifier
1922215367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA17242
- Practice address
- 16660 Paramount Blvd Ste 206
Paramount, CA 90723-5458 - Phone
- (563) 634-9433
- Fax
- (562) 634-6075
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17242 | CA | Primary |
Addresses
Primary practice location
16660 Paramount Blvd Ste 206
Paramount, CA 90723-5458
Mailing address
4755 Oliva Ave
Lakewood, CA 90712-3514
Phone (562) 756-0955
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA17242 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922215367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4755 OLIVA AVE",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907123514",
"telephone_number": "562-756-0955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16660 PARAMOUNT BLVD STE 206",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907235458",
"telephone_number": "563-634-9433",
"fax_number": "562-634-6075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "SERGIO",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA17242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paramount, CA
- Ming-Yi Yen M D a Professional Corporation
- Mohammad Ismail MD Inc
- Mohammad Riaz MD Incorporated
- Martha Amparo Montelongo, LVN
- Jessica Celene Montes, MSNA, CRNA
- Wilson Aoigan Morales, MD
- Desiree Anne Moreno, LMFT116320
- Lanita Morgan, RN
- Moustafa E Alamy MD Inc
- Al Mecca Ali Akbar Muhammad Bey, J.L.ESQ., PHD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.