Mr Justin Mora, FNP | |
2271 S Depot St, Santa Maria, CA 93455-1216 | |
(805) 922-0561 | |
(805) 922-0083 |
Full Name | Mr Justin Mora |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 2271 S Depot St, Santa Maria, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063299717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95027200 (California) | Primary |
Entity Name | Pacific Central Coast Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063496651 PECOS PAC ID: 9739091364 Enrollment ID: O20031103000443 |
Entity Name | Santa Ynez River Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396210597 PECOS PAC ID: 7911241229 Enrollment ID: O20181127001998 |
Mailing Address | Practice Location Address |
---|---|
Mr Justin Mora, FNP 2271 S Depot St, Santa Maria, CA 93455-1216 Ph: (805) 922-0561 | Mr Justin Mora, FNP 2271 S Depot St, Santa Maria, CA 93455-1216 Ph: (805) 922-0561 |
Richard L John Jr., APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1550 E Main St, Mental Health, Santa Maria, CA 93454 Phone: 805-354-6053 | |
Leslie M Hutton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 821 E Chapel St Ste 201, Santa Maria, CA 93454 Phone: 805-922-5749 | |
Sharuti Dolly Bhatia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1537 S Boston Ln, Santa Maria, CA 93458 Phone: 141-526-5050 | |
Mrs. Jennifer Diaz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 S Palisade Dr Ste 101, Santa Maria, CA 93454 Phone: 805-922-0481 Fax: 805-925-5261 | |
Ms. Sandra Mary Loehner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 E Chapel St, Santa Maria, CA 93454 Phone: 805-722-3100 Fax: 805-928-7671 | |
Beaulah P Jay, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2225 Cordoban Ln, Santa Maria, CA 93455 Phone: 805-478-8237 |