Individual provider Active NPI

Morgan Moore, SPECIALIST

  • Prosthetics Case Management
  • Vallejo, CA
National Provider Identifier
1942937172
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
KK570494 Issued in CA
Practice address
301 Georgia St Ste 375
Vallejo, CA 94590-5985
Phone
(707) 563-5606
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X KK570494 CA Primary

Addresses

Primary practice location

301 Georgia St Ste 375
Vallejo, CA 94590-5985

Mailing address

301 Georgia St Ste 375
Vallejo, CA 94590-5985
Phone (707) 563-5606

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
KK570494CAMDProsthetics Case Management

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan & Moore LLC CurrentSince Aug 14, 2022 Accepting new patients

Locations

301 Georgia St
Ste 375
Vallejo, CA 94590
Phone (707) 563-5606

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1942937172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GEORGIA ST STE 375",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905985",
            "telephone_number": "707-563-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GEORGIA ST STE 375",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905985",
            "telephone_number": "707-563-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MORGAN",
        "credential": "SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "CA",
            "license": "KK570494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.