MS. JEANINE MORENO (NPI# 1629406483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629406483 |
| Entity Type | Individual |
| Full Name | MS. JEANINE MORENO |
| Credential | NP |
| Practice Address |
1500 Duarte Rd Duarte CA 91010-3012 |
| Mailing Address |
Po Box 512185 Los Angeles CA 90051 |
| Practice Telephone | 6262564673 |
| Mailing Telephone | 6267753514 |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 821707 | CA | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
95000157 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1245 16th St, #204, Santa Monica, CA 904041235 | 3103193222 |
| Street Address |
1500 DUARTE RD |
| City | DUARTE |
| State | CA |
| Zip Code | 91010-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498271 | Marwan G Fakih | Internal Medicine | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2005-06-22 |
| 1801403688 | Jia-chi Wang | Medical Genetics | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2020-09-25 |
| 1053923300 | Ying Moua | Social Worker | 1500 Duarte Rd, Duarte, CA 91010-3000 | 2020-08-18 |
| 1477163814 | Elise Sobotka | Genetic Counselor, MS | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2020-07-31 |
| 1033728217 | Gabriela Claudia Medrano | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2020-07-23 |
| 1538783295 | Lynn Kim | Occupational Therapist | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2020-05-29 |
| 1235759887 | Jessica Vuong | Pharmacist | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2020-04-23 |
| 1073133104 | Edward Thanasombat | Pharmacist | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2020-04-18 |
| 1285254300 | Tu Nguyen Doan Vuong | Pharmacist | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2020-04-18 |
| 1093344756 | Amy Marie Mcgovern | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2020-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266849 | Cheyenne King | Student in an Organized Health Care Education/Training Program | 1801 Huntington Drive, Duarte, Ca 91010, Duarte, CA 91010 | 2020-05-07 |
| 1114578028 | Cristian Gonzalez | Case Manager/Care Coordinator | 2250 E Foothill Ave, Pasadena, CA 91010 | 2019-09-23 |
| 1366932378 | Maisie Madrid | Marriage & Family Therapist | 1801 Huntington Drive, Duarte, CA 91010 | 2018-05-15 |
| 1598289571 | Bertha Maria Torres | Social Worker | 938 E. Huntington Drive, Unit A, Duarte, CA 91010 | 2017-08-01 |
| 1598292286 | Sheila Ramirez | Occupational Therapy Assistant | 2302 Citrus View Ave, Duarte, CA 91010 | 2017-05-12 |
| 1982059556 | Patricia Mendoza | Case Manager/Care Coordinator | 2502 E.huntington Dr., Duarte, CA 91010 | 2016-05-02 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1477940161 | Jin Sun L Bitar | Internal Medicine | 1500 Duarte Rd # Wing4, Duarte, CA 91010 | 2015-04-20 |
| 1659625622 | Jeanette Marie Petermann | Nurse Practitioner | 1036 East Huntington Drive, Duarte, CA 91010 | 2012-10-30 |
| 1649534397 | Nathaniel J Khoe Dds. Inc | Dentist | 1016 Huntington Drive, Duarte, CA 91010 | 2012-06-27 |
| Find all providers in zip 91010 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871136929 | Raymond Tran Nguyen | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2019-10-22 |
| 1639636426 | Dianne Fernandez | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2019-02-27 |
| 1356842843 | Jerick Tan | Nurse Practitioner | 1500 E Duarte Road, Duarte, CA 91010 | 2018-02-21 |
| 1659887024 | Anne Marie Dejoya Reeve | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2017-12-21 |
| 1942729389 | Edyssa Ann Uy | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2017-09-18 |
| 1558675330 | Cecilio V. Cay | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2010-08-04 |
| 1215252010 | Leana Chien | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2010-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139109 | Lena Kazanchyan | Nurse Practitioner | 11834 Archwood St, North Hollywood, CA 91606-1603 | 2020-09-16 |
| 1740898386 | Victor De Guzman | Nurse Practitioner | 24808 Sand Wedge Ln, Valencia, CA 91355-2315 | 2020-07-20 |
| 1114535937 | Ashley Elizabeth Rosso | Nurse Practitioner | 3111 Camino Del Rio N Ste 625, San Diego, CA 92108-5718 | 2020-07-17 |
| 1518586452 | Zaruhi Harutyunyan | Nurse Practitioner | 7901 Santa Monica Blvd Ste 206, West Hollywood, CA 90046-5180 | 2020-04-10 |
| 1457986168 | Maritza J Lira | Nurse Practitioner | 23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653-1341 | 2020-03-03 |
| 1225677198 | Shannon Ha Duyen Sicat | Nurse Practitioner | 2617 E Chapman Ave Ste 109, Orange, CA 92869-3245 | 2019-12-24 |
| 1528605961 | Elsa L Pineda-flores | Nurse Practitioner | 1513 S Grand Ave Ste 306, Los Angeles, CA 90015-3075 | 2019-12-04 |
| 1447895073 | Kemi Osilesi | Nurse Practitioner | 1943 Seasons St, Simi Valley, CA 93065-0580 | 2019-11-07 |
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1255993531 | May Therese Ronci | Nurse Practitioner | 38504 Cougar Pass, Palmdale, CA 93551-5019 | 2019-07-08 |
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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.