Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nancy Moharram, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1053502641

Nancy Moharram, PHYSICIANASSISTANT is a Physician Assistant in Colton, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

400 N Pepper Ave
Colton, CA 92324-1801
Phone: (909) 580-6320
Fax: (909) 580-6369
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 18530 (CA)

Record details

NPI number1053502641
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 7, 2007
Last updated in NPPESNovember 10, 2015
Mailing address267 W Hillcrest Dr, Thousand Oaks, CA 91360-4211

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