Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

IVY MARIE MORA
NPI 1083519029
Licensed Vocational Nurse in San Jose, CA

Q: What is Ivy Mora's NPI number?

The NPI number for Ivy Mora is 1083519029. It was assigned to this individual provider in the NPPES registry on October 9, 2026.

Q: What is Ivy Mora's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Ivy Mora was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 09, 2026

4850 UNION AVE, SAN JOSE, CA 95124(800) 913-2615(408) 559-3158 Get Directions Write a Review

NPPES record added: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Ivy Marie Mora NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVY MARIE MORA (NPI 1083519029) is an individual licensed vocational nurse in San Jose, California, licensed in California (762915) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1083519029

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameIVY MARIE MORA

Location Address4850 UNION AVESan Jose, CA 95124-5156

Mailing Address4850 Union AveSan Jose, CA 95124-5156 · (800) 913-2615 · Fax (408) 559-3158

Phone(800) 913-2615

Fax(408) 559-3158

Sole ProprietorNo

Enumeration DateOctober 9, 2026

NPPES CertifiedOctober 9, 2026

✔ NPI 1083519029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 762915

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

4850 UNION AVE, San Jose, CA 95124

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JODIE SUGIYAMA GNP

Nurse Practitioner (Gerontology)