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

Sofia Lucina Moran, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104672930

Sofia Lucina Moran, PMHNP is a Nurse Practitioner in San Bernardino, California. Qualified in 2023, 3 years ago. Practices with Mood Clinical, P. C., a 100-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

473 E Carnegie Dr Ste 200
San Bernardino, CA 92408
Phone: (840) 252-7774
Fax: (840) 223-5913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95029887 (CA)

Record details

NPI number1104672930
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedApril 24, 2024
Last updated in NPPESDecember 1, 2024
Certification dateDecember 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mood Clinical, P. C. — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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