Individual Healthcare Provider
Justin Mora, FNP
Provider's NPPES record last updated: July 8, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063299717
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Santa Maria, California
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 7:01 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (California)
- 95027200
Practice Locations
Practice Location
316 S Stratford Ave Ste B
Santa Maria, California 93454-5908
Phone: (805) 332-8446
Additional Practice Location
135 Cimarron Way
Arroyo Grande, California 93420-5674
Phone: (805) 264-6690
Additional Practice Location
217 W Central Ave
Lompoc, California 93436-2830
Phone: (805) 735-4292
Fax: (805) 735-4293
Additional Practice Location
5920 West Mall
Atascadero, California 93422-4232
Phone: (805) 466-0676
Fax: (805) 466-4862
Additional Practice Location
877 Oak Park Blvd
Pismo Beach, California 93449-3292
Phone: (805) 474-8450
Fax: (805) 474-8454
Additional Practice Location
1102 E Clark Ave Ste 120a
Santa Maria, California 93455-5175
Phone: (805) 332-8185
Fax: (805) 332-8186
Additional Practice Location
2271 S Depot St
Santa Maria, California 93455-1216
Phone: (805) 922-0561
Fax: (805) 922-0083
Record Information
- Enumeration Date
- September 14, 2023
- Provider's NPPES Record Last Updated
- July 8, 2025
- Certification Date
- July 8, 2025
- NPISignal NPPES Dataset
- August 2026
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