Organization Active NPI

Michael D Moran, M.D., Inc.

  • Interventional Cardiology Physician
  • Laguna Niguel, CA
National Provider Identifier
1962420273
Registry record updated Feb 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
MICHAEL D MORAN, M.D., INC.
Practice address
30131 Town Center Dr Ste 211
Laguna Niguel, CA 92677-2088
Phone
(949) 297-8167
Fax
(949) 297-8350
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2023

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

Authorized official

Name
Dr. Michael D Moran, M.D.NPI 1871564948
Title
Owner
Phone
(949) 297-8167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A62602 CA
Interventional Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

30131 Town Center Dr Ste 211
Laguna Niguel, CA 92677-2088

Mailing address

30131 Town Center Dr Ste 211
Laguna Niguel, CA 92677-2088
Phone (949) 297-8167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081030000023 CA Part B Supplier - Clinic/Group Practice 3072500032 Receives reassigned benefits from 1 practitioner
Practice locations: Laguna Niguel, CA

National Provider Directory

National Provider Directory

Locations

30131 Town Center Dr
Ste 211
Laguna Niguel, CA 92677
Phone (949) 297-8167

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675468800000",
    "number": "1962420273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR STE 211",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772088",
            "telephone_number": "949-297-8167",
            "fax_number": "949-297-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR STE 211",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772088",
            "telephone_number": "949-297-8167",
            "fax_number": "949-297-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D MORAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-02-04",
        "certification_date": "2023-02-04",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-297-8167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A62602",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.