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Active NPI 1053502641 Individual Practitioner Female Practitioner

Nancy Moharram , PHYSICIAN ASSISTANT

Physician Assistant • Colton, CA

Professional Overview & Biography Verified Profile Summary

Nancy Moharram, PHYSICIAN ASSISTANT is a registered healthcare professional specializing in Physician Assistant in Colton, CA. Practice services are available at 400 N PEPPER AVE under active NPI credentials.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 N Pepper Ave

Colton, CA 923241801

Telephone 9095806320
Fax 9095806369
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Colton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.1 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
162 Specialists

Practicing in Colton, CA (14617 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
30.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
80 15 $10.52 $5.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
29 29 $130.80 $99.56
17000 Destruction of skin growth
23 23 $89.66 $52.00
11102 Tangential biopsy of single skin lesion
11 11 $123.69 $91.01

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA 18530

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Dr. Milton Mudge , MD

Orthopaedic Surgery

NPI 1013053727

Doctor of Medicine (M.D.)

Dr. Bert Davidson , MD

Obstetrics & Gynecology - Reproductive Endocrinology

NPI 1063547644

Doctor of Medicine (M.D.)

Dr. Ramon Cestero , MD

Obstetrics & Gynecology

NPI 1194806125

Doctor of Medicine (M.D.)

Dr. Shirley Wong , DO

Obstetrics & Gynecology

NPI 1346313459

Doctor of Osteopathic Medicine (D.O.)

NPI 1538244587

Certified Nurse Midwife

Kenneth Velasquez , PA-C

Physician Assistant

NPI 1578787917

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 10, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 10, 2015

Registered at 400 N PEPPER AVE, COLTON, CA 923241801 (Tel: 9095806320)

📍
Updated Business Mailing Address November 10, 2015

Registered at 267 W HILLCREST DR, THOUSAND OAKS, CA 913604211 (Tel: 8054971694)

👤
Provider Name / Credentials Updated November 10, 2015

Recorded as NANCY MOHARRAM, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2015

Physician Assistant (License #PA 18530 in CA)

🟢
Initial NPI Registration & Enumeration August 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053502641
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2007
Last Update: November 10, 2015
Sole Proprietor: No

Mailing Address

267 W Hillcrest Dr

Thousand Oaks, CA 913604211

Phone: 8054971694

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.