DR. JULIETA MORAN (M.D.) – Emergency Medicine Physician, NPI 1073802963

DR. JULIETA MORAN (M.D.) is a healthcare provider. based in Los angeles, California. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. A114882 (CA). The NPI Number for DR. JULIETA MORAN (M.D.) is 1073802963

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. JULIETA MORAN (M.D.)
NPI
1073802963
Phone
(323) 226-6667
Address
1200 N STATE ST
Enumeration Date
31 March 2011
Last Update Date
3 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6612538112
Graduation Year
2009 (17 years ago)
PAC ID
3577712579
Group Practice PAC ID
4385544642
Professional Enrollment ID
I20121008000490

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

Provider Addresses for DR. JULIETA MORAN (M.D.)

  • 1200 N STATE ST

    ROOM 1011

    LOS ANGELES, CA 900331029

    Phone: (323) 226-6667

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $288.

Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: ABBVIE INC. ($215).

Total Amount

$288

General + Research + Ownership

Payments

12

Total payment records

General Amount

$288

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-10-08

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121008000490IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385544642View full group profile

Reviews

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Frequently asked questions

Is DR. JULIETA MORAN (M.D.) listed with a National Provider Identifier?
Yes — DR. JULIETA MORAN (M.D.) has NPI 1073802963 on file in the registry.
Is DR. JULIETA MORAN (M.D.) shown as active in public data?
Registry records indicate DR. JULIETA MORAN (M.D.) maintains an active NPI.
What clinical focus is listed for DR. JULIETA MORAN (M.D.)?
At a glance, DR. JULIETA MORAN (M.D.) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in California is DR. JULIETA MORAN (M.D.) registered?
Use Los Angeles, California as the headline location for DR. JULIETA MORAN (M.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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