KEVIN MORAN
NPI 1114565256
Physical Therapist - Orthopedic in La Mirada, CA
About Kevin Moran NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN MORAN (NPI 1114565256) is an individual orthopedic provider in La Mirada, California and active in the NPI registry since December 2019.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kevin Moran is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kevin Moran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fullerton, CA 92833
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kevin Moran's NPI number?
The NPI number for Kevin Moran is 1114565256. It was assigned to this individual provider in the NPPES registry on December 19, 2019.
Where is Kevin Moran located?
Kevin Moran practices at 12702 Colima Rd, La Mirada, CA 90638. The listed phone number is (562) 972-3574.
What is Kevin Moran's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Kevin Moran enrolled in Medicare?
Yes. Kevin Moran is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kevin Moran's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Moran reassigns Medicare benefits to Southern California Permanente Medical Group (Fullerton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Moran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kevin Moran was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Kevin Moran · NPI 1114565256
Orthopedic provider in La Mirada, California. Individual provider, active in the CMS NPPES registry since December 19, 2019.
## Identity
- **NPI:** 1114565256 (Entity type: Individual)
- **Enumerated:** December 19, 2019
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 12702 COLIMA RD, La Mirada, CA 90638-1921
- **Phone:** (562) 972-3574
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1336556059, Fullerton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1114565256) · Data from the CMS NPPES public registry.