Jonathan Oscar Moran, is a medicare enrolled "Physician Assistant" in Tujunga, California. His current practice location is
10541 Commerce Ave, Tujunga, California. You can reach out to his office (for appointments etc.) via phone at
(818) 951-6111.
Jonathan Oscar Moran is licensed to practice in California (license number 61787) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487384459.
Provider's Profile
Full Name | Jonathan Oscar Moran |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 10541 Commerce Ave, Tujunga, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487384459
- Provider Enumeration Date: 06/13/2022
- Last Update Date: 12/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345692331
- Enrollment ID: I20240115001948
Medical Identifiers
Medical identifiers for Jonathan Oscar Moran such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487384459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (California) | Secondary |
363A00000X | Physician Assistant | 61787 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Oscar Moran is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jonathan Oscar Moran, 10541 Commerce Ave, Tujunga, CA 91042-1538 Ph: (818) 951-6111 | Jonathan Oscar Moran, 10541 Commerce Ave, Tujunga, CA 91042-1538 Ph: (818) 951-6111 |
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