BERNARDO JOVEN MORA (NPI# 1790868834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790868834 |
Entity Type | Individual |
Full Name | BERNARDO JOVEN MORA |
Credential | MD |
Practice Address |
421 E Morris Ave Modesto CA 95354-0437 |
Mailing Address |
3801 Yosemite Blvd # E-331 Modesto CA 95357-0529 |
Practice Telephone | 2095587494 |
Practice Fax Number | 2095588918 |
Mailing Telephone | 2095256119 |
Enumeration Date | 2006-10-23 |
Last Update Date | 2019-01-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A52412 | CA | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A52412 | CA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
800 Scenic Dr, Modesto, CA 953506131 | 2095256119 | 2095584326 |
Street Address |
421 E MORRIS AVE |
City | MODESTO |
State | CA |
Zip Code | 95354-0437 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821617788 | Vivian Lopez | Technician | 421 E Morris Ave, Modesto, CA 95354-0437 | 2020-04-10 |
1952966178 | Francesca Cantu | Technician | 421 E Morris Ave, Modesto, CA 95354-0437 | 2019-05-02 |
1144884107 | Stevie Rattell | Prevention Professional | 421 E Morris Ave, Modesto, CA 95354-0437 | 2019-04-25 |
1023672391 | Esmeralda Garza Sandoval Jr. | Prevention Professional | 421 E Morris Ave, Modesto, CA 95354-0437 | 2019-04-23 |
1932762424 | Virginia M. Sigala | Prevention Professional | 421 E Morris Ave, Modesto, CA 95354-0437 | 2019-04-19 |
1710540240 | Valerie Denise Van Tuinen | Technician | 421 E Morris Ave, Modesto, CA 95354-0437 | 2019-04-19 |
1609439108 | Enedelia N/a Garcia | Technician | 421 E Morris Ave, Modesto, CA 95354-0437 | 2019-04-19 |
1366005886 | Debra Marie May | Case Manager/Care Coordinator | 421 E Morris Ave, Modesto, CA 95354-0437 | 2019-04-19 |
1568025062 | Diana Vielka Palacio | Technician | 421 E Morris Ave, Modesto, CA 95354-0437 | 2019-04-19 |
1528510674 | Bianca K. Junker | Nurse Practitioner | 421 E Morris Ave, Modesto, CA 95354 | 2016-10-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
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Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588079255 | Aditi Giri | Psychiatry & Neurology | 1510 Florida Ave Ste B, Modesto, CA 95350-4437 | 2014-06-21 |
1356453864 | Ricardo Orlando Gonzales | Psychiatry & Neurology | 1127 13th St, Modesto, CA 95354-0907 | 2006-08-31 |
1811291503 | Fahmy Ibrahim Md Inc | Psychiatry & Neurology | 1501 Claus Road, Modesto, CA 95355 | 2011-01-10 |
1548332380 | Alisha O. Dunn | Psychiatry & Neurology | 4601 Dale Rd, Modesto, CA 95356-9718 | 2006-11-15 |
1255424404 | Fahmy Ibrahim | Psychiatry & Neurology | 1501 Claus Rd, Modesto, CA 95355-9711 | 2006-10-02 |
1952402141 | Banu Brar | Psychiatry & Neurology | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2006-09-26 |
1609987510 | Stewart Quisling | Psychiatry & Neurology | 3340 Tully Rd, D-2, Modesto, CA 95350-0838 | 2006-08-31 |
1750348025 | Gagandeep Singh Popli | Psychiatry & Neurology | 2020 Coffee Rd, Suite C5, Modesto, CA 95355-2427 | 2006-04-28 |
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1043848872 | Nelson Md and Lochhead Md, A Professional Medical Corporation | Psychiatry & Neurology | 28202 Cabot Rd Ste 635, Laguna Niguel, CA 92677-1222 | 2020-03-28 |
1003455460 | Ranvinder Kaur Rai Md | Psychiatry & Neurology | 39676 Mission Blvd, Fremont, CA 94539-3000 | 2020-01-03 |
1043856073 | Ocean View Neuropsychiatry | Psychiatry & Neurology | 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 | 2019-11-25 |
1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.