Individual provider Active NPI

Michelle Maria Mora, DO

  • Neurology Physician
  • Vallejo, CA
National Provider Identifier
1972814408
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
20A14840 Issued in CA
Practice address
4016 Stepping Stone CT
Vallejo, CA 94591-6389
Phone
(615) 346-8182
Fax
(615) 829-8970
NPI assigned
Jun 30, 2010
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X DO.17814 AL
Neurology Physician 2084N0400X 114210 AK
Neurology Physician 2084N0400X 76756 GA
Neurology Physician 2084N0400X 5101018913 MI
Neurology Physician 2084N0400X 036.145494 IL
Neurology Physician 2084N0400X E-10073 AR
Neurology Physician 2084N0400X 05-40690 KS
Neurology Physician 2084N0400X A-2164-18 NM
Neurology Physician 2084N0400X 02005024A IN
Neurology Physician 2084N0400X 308324 LA
Neurology Physician 2084N0400X 18811 NH
Neurology Physician 2084N0400X R6847 TX
Neurology Physician 2084N0400X 62073 CT
Neurology Physician 2084N0400X 7499 AZ
Neurology Physician 2084N0400X 20A14840 CA Primary

Addresses

Primary practice location

4016 Stepping Stone CT
Vallejo, CA 94591-6389

Mailing address

4016 Stepping Stone CT
Vallejo, CA 94591-6389
Phone (707) 225-1330

Other practice location 1

13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone (480) 301-8000

Other practice location 2

200 Jose Figueres Ave Ste 475
San Jose, CA 95116-1597
Phone (615) 346-8182 ext. 932

Other practice location 3

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5104

Other practice location 4

1819 Jay Ell Dr Ste 100
Richardson, TX 75081-2064
Phone (888) 344-2947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, TX, TN, GA, NH, MI, AR, KS, MO10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20160902001719 CA Practitioner - Neurology 7719288174 Reassigns benefits to 4 organizations
I20161116001666 NY Practitioner - Neurology 7719288174 Reassigns benefits to 1 organization
I20190322000543 TX Practitioner - Neurology 7719288174 Reassigns benefits to 1 organization
I20190327000930 TN Practitioner - Neurology 7719288174 Reassigns benefits to 1 organization
I20190401001366 GA Practitioner - Neurology 7719288174 Reassigns benefits to 1 organization
I20190524001721 NH Practitioner - Neurology 7719288174 Reassigns benefits to 2 organizations
I20200331000400 MI Practitioner - Neurology 7719288174
I20250227000084 AR Practitioner - Neurology 7719288174 Reassigns benefits to 1 organization
I20260304001889 KS Practitioner - Neurology 7719288174 Reassigns benefits to 1 organization
I20260304002132 MO Practitioner - Neurology 7719288174

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seastnan Medical, LLCGroup PAC ID 5496259368, 4 clinicians
Atlas Neurophysiological AssessmentGroup PAC ID 1355618497, 3 clinicians
West Neurodiagnostic ReadingGroup PAC ID 6204112592, 2 clinicians
Interpreting Physician Associates LLCGroup PAC ID 6305179854, 4 clinicians

Practice addresses (Care Compare)

Overland Park, KS 66212
Phone (816) 777-7402

4016 Stepping Stone CT
Vallejo, CA 94591-6389
Phone (888) 344-2947

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3095TNMDMental Health Counselor
114210AKMDNeurology Physician
DO.17814ALMDNeurology Physician
E-10073ARMDNeurology Physician
62073CTMDNeurology Physician
036.145494ILMDNeurology Physician
02005024AINMDNeurology Physician
05-40690KSMDNeurology Physician
308324LAMDNeurology Physician
5101018913MIMDNeurology Physician
18811NHMDNeurology Physician
A-2164-18NMMDNeurology Physician
R6847TXMDNeurology Physician
14840CAMDOccupational Therapist
7499AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurolinks, LLC CurrentSince Jan 1, 2024 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince May 20, 2019 Accepting new patients
West Neurodiagnostic Reading Neurology CurrentSince Dec 11, 2024 Accepting new patients
Pacific Neuromonitoring Associates, Inc Neurology CurrentSince Mar 10, 2019 Accepting new patients
Interpreting Physician Associates LLC CurrentSince Mar 16, 2024 Accepting new patients
Neurolinks of Tulsa, LLC CurrentSince Feb 1, 2025 Accepting new patients
Atlas Neurophysiological Assessment CurrentSince Feb 1, 2024 Accepting new patients
Comprehensive Neuro Monitoring, LLC CurrentSince Mar 1, 2020 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince May 20, 2019 Accepting new patients
Amb Eeg LLC CurrentSince Oct 1, 2024 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince May 20, 2019 Accepting new patients
Seastnan Medical, LLC CurrentSince Jul 26, 2025 Accepting new patients
T V Seshan M D P C CurrentSince Sep 27, 2016 Accepting new patients
Axis Neuromonitoring Past Accepting new patients
Neuralview Medical Group PC PastSince Dec 1, 2015 Accepting new patients
Rtna PC Past Accepting new patients

Locations

3497 Wagon Wheel Rd
Springdale, AR 72762
Phone (479) 717-2467

6400 W 95th St
Ste 100
Overland Park, KS 66212
Phone (816) 777-7402

10275 Little Patuxent Pkwy
Ste 300
Columbia, MD 21044
Phone (734) 545-4420

45211 Helm St
Plymouth, MI 48170
Phone (734) 525-9712

107 W 63rd St
Kansas City, MO 64113
Phone (816) 777-7402

4510 Frederick Ave
Saint Joseph, MO 64506
Phone (816) 233-1629

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

244 Westchester Ave
Ste 316
White Plains, NY 10604
Phone (914) 288-0045

399 Knollwood Rd
Ste 108
White Plains, NY 10603
Phone (914) 266-8740

336 22nd Ave N
Nashville, TN 37203
Phone 6153468182920

3120 Southwest Fwy
Ste 206
Houston, TX 77098
Phone (877) 295-2554

1819 Jay Ell Dr
Ste 100
Richardson, TX 75081

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1972814408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 STEPPING STONE CT",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945916389",
            "telephone_number": "707-225-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 STEPPING STONE CT",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945916389",
            "telephone_number": "615-346-8182",
            "fax_number": "615-829-8970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13400 E Shea Blvd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852595499",
            "country_code": "US",
            "telephone_number": "480-301-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Jose Figueres Ave Ste 475",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161597",
            "country_code": "US",
            "telephone_number": "615-346-8182 x932",
            "fax_number": "615-829-8970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
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            "postal_code": "037560001",
            "country_code": "US",
            "telephone_number": "603-650-5104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1819 Jay Ell Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750812064",
            "country_code": "US",
            "telephone_number": "888-344-2947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORA",
        "first_name": "MICHELLE",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "DO.17814",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AK",
            "license": "114210",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "76756",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101018913",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036.145494",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "E-10073",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "05-40690",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "A-2164-18",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "02005024A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "308324",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NH",
            "license": "18811",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "R6847",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "62073",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "7499",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "20A14840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.