Provider Demographics
NPI:1639478514
Name:MORGAN, JAMES (DNP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:MORGAN
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14081 YORBA ST STE 105
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-2050
Mailing Address - Country:US
Mailing Address - Phone:714-617-2530
Mailing Address - Fax:714-617-2587
Practice Address - Street 1:14081 YORBA ST STE 105
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-2050
Practice Address - Country:US
Practice Address - Phone:714-617-2530
Practice Address - Fax:714-617-2587
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-18
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95002151363LA2100X, 363LP0808X
CA766862163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse