EDGAR MORENO (NPI# 1003381583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003381583 |
| Entity Type | Individual |
| Full Name | EDGAR MORENO |
| Credential | PA-C |
| Practice Address |
6001 Truxtun Ave Bakersfield CA 93309-0679 |
| Mailing Address |
918 Cadmus Ct Arvin CA 93203-2000 |
| Practice Telephone | 6613238477 |
| Mailing Telephone | 6615570847 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2019-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
57434 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215365374 | Edgar Moreno | Case Manager/Care Coordinator | 1501 Hughes Way, Suite 150, Long Beach, CA 90810-1876 | 2013-10-28 |
| Street Address |
6001 TRUXTUN AVE |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93309-0679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295711539 | Ishaan Singh Kalha | Internal Medicine | 6001 Truxtun Ave, Building B Ste 240, Bakersfield, CA 93309-0679 | 2005-12-19 |
| 1740635622 | Ann Michalski | Nurse Practitioner | 6001 Truxtun Ave, Suite 160, Bakersfield, CA 93309-0679 | 2016-04-28 |
| 1801252762 | Mia M. Lagunda, Md, Inc. | Clinic/Center | 6001 Truxtun Ave, Suite 210b, Bakersfield, CA 93309-0679 | 2016-01-07 |
| 1407292659 | Cv Psychology Inc. | Clinical Neuropsychologist | 6001 Truxtun Ave, Suite 320, Bakersfield, CA 93309-0679 | 2013-05-15 |
| 1841542735 | Truxtun Psychiatric Medical Group Inc | Specialist | 6001 Truxtun Ave, Suite 160, Bakersfield, CA 93309-0679 | 2012-10-03 |
| 1316209935 | Nirog Medical Inc | Family Medicine | 6001 Truxtun Ave, Suite 180-a, Bakersfield, CA 93309-0679 | 2012-06-11 |
| 1255560447 | Cindy M Engel | Counselor | 6001 Truxtun Ave, Suite 160, Bakersfield, CA 93309-0679 | 2009-07-08 |
| 1851539761 | Sam Ratnayake, M.d., Inc | Clinic/Center | 6001 Truxtun Ave, B Ste 240, Bakersfield, CA 93309-0679 | 2009-01-30 |
| 1174785810 | Krishna Vijayasarathi | Psychiatry & Neurology | 6001 Truxtun Ave, Suite 160, Bakersfield, CA 93309-0679 | 2008-06-25 |
| 1194848978 | Truxtun Psychiatric Medical Group | Psychologist | 6001 Truxtun Ave, Suite 160, Bakersfield, CA 93309-0679 | 2007-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760042 | Jovana Calvillo | Counselor | 5959 Truxtun Ave # 100, Bakersfield, CA 93309 | 2020-01-30 |
| 1972146090 | Lauryn A Cooper | Physician Assistant | 5060 California Ave., Suite 620, Bakersfield, CA 93309 | 2019-10-21 |
| 1164906814 | Emergency Physicians Urgent Care Inc | Clinic/Center | 212 Coffee Road, Bakersfield, CA 93309 | 2018-09-19 |
| 1497258487 | Emerald Family Medical Group Inc | Clinic/Center | 212 Coffee Rd, Bakersfield, CA 93309 | 2018-03-15 |
| 1508368069 | Outpatient Surgery Center LLC | Podiatrist | 5000 Commerce Drive, Suite 203, Bakersfield, CA 93309 | 2018-03-01 |
| 1114431012 | Milka Lara | Marriage & Family Therapist | 3628 Stockdale Hwm, Bakersfield, CA 93309 | 2017-11-30 |
| 1598275661 | Viviana Janet Rojas | Case Manager/Care Coordinator | 1521 Stockdale Hwy, Ste 150, Bakersfield, CA 93309 | 2017-10-03 |
| 1821512963 | Robert A. Spack | Family Medicine | 5129 Ming Avenue, Bakersfield, CA 93309 | 2017-07-31 |
| 1982125431 | Darlene Porter | Home Health Aide | 3900 Adair Ct, Bakersfield, CA 93309 | 2017-07-05 |
| 1700316783 | Ana Isela An | Social Worker | 5121 Stockdale Hwy # Hwym150a, Bakersfield, CA 93309 | 2017-06-13 |
| Find all providers in zip 93309 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033693734 | Nora Medical Inc | Family Medicine | 8307 Brimhall Rd Unit 1704, Bakersfield, CA 93312-2243 | 2018-09-18 |
| 1780815563 | Srilakshmi Madhusudhan | Family Medicine | 3838 San Dimas St Ste 200, Bldg A, Bakersfield, CA 93301-2284 | 2009-07-28 |
| 1851430797 | Vincent Joseph Maddela | Family Medicine | 2701 Chester Ave # 201, Bakersfield, CA 93301-2016 | 2007-02-06 |
| 1710081781 | Shakti Dayal Srivastava | Family Medicine | 1111 Columbus St Ste 3000, Bakersfield, CA 93305 | 2006-09-12 |
| 1013448331 | Aashini Shah | Family Medicine | 2615 Chester Ave, Bakersfield, CA 93301-2014 | 2017-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446091 | Candace Maglinao | Family Medicine | 21010 Anza Ave Apt 12, Torrance, CA 90503-4254 | 2020-10-30 |
| 1942826797 | In-home Medical Mobile Services, Inc. | Family Medicine | 3400 E 8th St Ste 202, National City, CA 91950-3169 | 2020-06-17 |
| 1386269306 | Universal Mobile Doctors Inc | Family Medicine | 15333 Sherman Way Ste P, Van Nuys, CA 91406-4204 | 2020-06-16 |
| 1619597671 | Harry Eisenbach | Family Medicine | 9312 Smoketree Ln, Villa Park, CA 92861-1011 | 2020-04-20 |
| 1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
| 1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
| 1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
| 1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
| Find all providers with the same taxonomy | ||||
| City | BAKERSFIELD |
| Zip Code | 93309 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.