BERNARDO JOVEN MORA


Address: 421 E Morris Ave, Modesto, CA 95354-0437
Phone: 2095587494

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
800 Scenic Dr, Modesto, CA 953506131 2095256119 2095584326

Office Location

Street Address 421 E MORRIS AVE
City MODESTO
State CA
Zip Code 95354-0437

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

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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1710506308 Nisha Warikoo Md Inc Psychiatry & Neurology 19200 Von Karman Ave, Ste 623, Irvine, CA 92612-8553 2020-04-13
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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Competitor

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City MODESTO
Zip Code 95354

Improve Information

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Dataset Information

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.

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