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CLINICA MEDICA DE LA MORA INC
NPI 1649598772
Internal Medicine in San Diego, CA

Active since May 13, 2010
995 GATEWAY CENTER WAY, SUITE 202, SAN DIEGO, CA 92102(619) 264-3107(619) 264-6927 Get Directions Write a Review

NPPES record last updated: May 13, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Clinica Medica De La Mora Inc NPPES

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

CLINICA MEDICA DE LA MORA INC (NPI 1649598772) is a healthcare organization registered as an internal medicine in San Diego, California and active in the NPI registry since May 2010. The organization lists Oscar Manuel De La Mora, Owner, as its authorized official.

NPPES Registry Identity

NPI1649598772
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCLINICA MEDICA DE LA MORA INC
Location Address995 GATEWAY CENTER WAY, SUITE 202San Diego, CA 92102-4500
Mailing Address995 Gateway Center Way, Suite 202San Diego, CA 92102-4500 · (619) 264-3107 · Fax (619) 264-6927
Phone(619) 264-3107
Fax(619) 264-6927
Organization SubpartNo
Authorized OfficialOscar Manuel De La MoraOwner · (619) 264-3107
Enumeration DateMay 13, 2010
✔ NPI 1649598772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · C50916✔ Licensed in CA · A30061
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License A50769 (CA)
995 GATEWAY CENTER WAY, San Diego, CA 92102
Open in Google Maps ↗

Other Identifiers 1

MedicaidA050769CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinica Medica De La Mora Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120319000405Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Clinica Medica De La Mora Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Oscar De La Mora, M.D.
Pediatric Medicine
NPI 1982703898
995 GATEWAY CENTER WAY STE 202
San Diego, CA 92102
(619) 264-3107
✔ PECOSSame address
Ramachander Nanduri, M.D.,
General Practice
NPI 1093721896
995 GATEWAY MEDICAL CENTER SUITE 202
San Diego, CA 92102
(619) 264-3107
✔ PECOS✔ Accepts MedicareSame address
Eric Storey, FNP-BC
Nurse Practitioner
NPI 1205598984
10737 CAMINO RUIZ
San Diego, CA 92126
(844) 200-2426
✔ PECOS14 mi

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 Clinica Medica De La Mora Inc's NPI number?

The NPI number for Clinica Medica De La Mora Inc is 1649598772. It was assigned to this organization in the NPPES registry on May 13, 2010.

Where is Clinica Medica De La Mora Inc located?

Clinica Medica De La Mora Inc is located at 995 Gateway Center Way Suite 202, San Diego, CA 92102. The listed phone number is (619) 264-3107.

What is Clinica Medica De La Mora Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Clinica Medica De La Mora Inc enrolled in Medicare?

Yes. Clinica Medica De La Mora Inc is registered in the Medicare PECOS enrollment system.

When is Clinica Medica De La Mora Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Clinica Medica De La Mora Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Clinica Medica De La Mora Inc, in General Practice, Nurse Practitioner and Pediatric Medicine. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clinica Medica De La Mora Inc was last updated on May 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.