IVANKA M MORA PA-C NPI 1619500691

NPI Information

  • NPI: 1619500691
  • Provider Name: IVANKA M MORA, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 1407 EISENHOWER BLVD STE 103B
    JOHNSTOWN, PA
    ZIP 15904
  • Phone: (240) 480-8236

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NPI Details

Ivanka M Mora, PA-C is a medical physician assistant in Johnstown, PA. Ivanka M Mora, PA-C NPI is 1619500691. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1407 EISENHOWER BLVD STE 103B
JOHNSTOWN, PA
ZIP 15904-262
Phone: (240) 480-8236

The enumeration date for this NPI number is 2/18/2020 and was last updated on 8/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2363AM0700XPhysician AssistantMedicalOA006883PENNSYLVANIANo
3363AM0700XPhysician AssistantMedical0110009710VIRGINIANo
4363AM0700XPhysician AssistantMedicalC0007509MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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