Active NPI
Michelle Maria Mora, DO
- Neurology Physician
- Vallejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 20A14840
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 10
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3095 | TN | MD | Mental Health Counselor |
| 114210 | AK | MD | Neurology Physician |
| DO.17814 | AL | MD | Neurology Physician |
| E-10073 | AR | MD | Neurology Physician |
| 62073 | CT | MD | Neurology Physician |
| 036.145494 | IL | MD | Neurology Physician |
| 02005024A | IN | MD | Neurology Physician |
| 05-40690 | KS | MD | Neurology Physician |
| 308324 | LA | MD | Neurology Physician |
| 5101018913 | MI | MD | Neurology Physician |
| 18811 | NH | MD | Neurology Physician |
| A-2164-18 | NM | MD | Neurology Physician |
| R6847 | TX | MD | Neurology Physician |
| 14840 | CA | MD | Occupational Therapist |
| 7499 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurolinks, LLC | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| West Neurodiagnostic Reading | Neurology | Current | Accepting new patients |
| Pacific Neuromonitoring Associates, Inc | Neurology | Current | Accepting new patients |
| Interpreting Physician Associates LLC | Current | Accepting new patients | |
| Neurolinks of Tulsa, LLC | Current | Accepting new patients | |
| Atlas Neurophysiological Assessment | Current | Accepting new patients | |
| Comprehensive Neuro Monitoring, LLC | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Amb Eeg LLC | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Seastnan Medical, LLC | Current | Accepting new patients | |
| T V Seshan M D P C | Current | Accepting new patients | |
| Axis Neuromonitoring | Past | Accepting new patients | |
| Neuralview Medical Group PC | Past | 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.
-
- Neurology Physician
- Bakersfield, CA
- NPI 1194115923
-
dba Atlas Neurophysiological Assessment LLC
- Electrodiagnostic Medicine Physician
- Richardson, TX
- NPI 1407142235
CA
-
dba Advanced Monitoring Services
- Electrodiagnostic Medicine Physician
- Springdale, AR
- NPI 1316487929
CA
-
- Electroneurodiagnostic Specialist/Technologist
- Overland Park, KS
- NPI 1881955250
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
dba Neuro Alert Monitoring Services
- Physical Medicine & Rehabilitation Physician
- White Plains, NY
- NPI 1902922792
-
- Physiological Laboratory
- Colleyville, TX
- NPI 1629584552
-
- Specialist
- Plymouth, MI
- NPI 1518384700
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1538157508
-
dba Mosaic Life Care at St Joseph Medical Center
- General Acute Care Hospital
- Saint Joseph, MO
- NPI 1437259694
-
- General Acute Care Hospital
- Lawrence, KS
- NPI 1508883422
-
dba Skilled Nursing Unit
- Skilled Nursing Facility
- North Kansas City, MO
- NPI 1437103215
Hospital
-
dba NKC Health
- General Acute Care Hospital
- North Kansas City, MO
- NPI 1629062799
-
dba St. Vincent Medical Center - North
- General Acute Care Hospital
- Sherwood, AR
- NPI 1629011002
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",
"city": "Lebanon",
"state": "NH",
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.