DR. JONATHAN MASAMI MORI M.D.
NPI 1861777104
Internal Medicine in Beale Afb, CA

Active since October 19, 2011PECOS EnrolledAccepts Medicare Assignment
15301 WARREN SHINGLE RD, BEALE AFB, CA 95903(530) 634-4662 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2020, Mar 23, 2017 (2 updates tracked since 2017).

About Dr. Jonathan Masami Mori M.d. NPPES

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

DR. JONATHAN MASAMI MORI M.D. (NPI 1861777104) is an individual internal medicine provider in Beale Afb, California, licensed in California (A114108) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mather, and is a graduate of Columbia University College Of Physicians And Surgeons (2009).

NPPES Registry Identity

NPI1861777104
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JONATHAN MASAMI MORICredential: M.D.
Location Address15301 WARREN SHINGLE RDBeale Afb, CA 95903-1907
Mailing Address15301 Warren Shingle RdBeale Afb, CA 95903-1907 · (530) 634-4662
Sole ProprietorYes
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2009
Enumeration DateOctober 19, 2011
Last NPPES UpdateMay 27, 20202 updates tracked since enumeration
NPPES CertifiedMay 27, 2020
NPI 1861777104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A114108
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 ListedPreventive Medicine · Aerospace MedicineTaxonomy 2083A0100X · License A114108 (CA)
15301 WARREN SHINGLE RD, Beale Afb, CA 95903

Secondary Practice Location 1

Location 110535 Hospital WayMather, CA 95655-4200 · Phone (916) 843-7000 ext. 19329 · Fax (916) 366-5376

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan Masami Mori M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274765656
PECOS Enrollment IDI20250207002793
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Family Medicine
15301 WARREN SHINGLE RD, 9TH MEDICAL GROUP CLINIC
BEALE AFB, CA 95903
Internal Medicine
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903
Social Worker
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903
Social Worker (Clinical)
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903
Social Worker (Clinical)
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903
Social Worker (Clinical)
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903
Social Worker (Clinical)
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903
Social Worker (Clinical)
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903

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 Jonathan Mori's NPI number?

The NPI number for Jonathan Mori is 1861777104. It was assigned to this individual provider in the NPPES registry on October 19, 2011.

Where is Jonathan Mori located?

Jonathan Mori practices at 15301 Warren Shingle Rd, Beale Afb, CA 95903. The listed phone number is (530) 634-4662.

What is Jonathan Mori's specialty?

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

Is Jonathan Mori enrolled in Medicare?

Yes. Jonathan Mori is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jonathan Mori was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.