ANDREA MORENO (NPI# 1629541354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629541354 |
| Entity Type | Individual |
| Full Name | ANDREA MORENO |
| Practice Address |
13116 Flagstaff Dr Rancho Cucamonga CA 91739-9262 |
| Practice Telephone | 9093736775 |
| Mailing Telephone | 9093736775 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718117 | Andrea Moreno | Pharmacy Technician | 100 N Stone Ave Ste 109, Tucson, AZ 85701-1542 | 2019-12-31 |
| 1275085151 | Andrea Moreno | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2016-10-26 |
| 1548680747 | Andrea Moreno | Obstetrics & Gynecology | 4601 Dale Rd, Modesto, CA 95356 | 2014-04-27 |
| 1134551583 | Andrea K. Moreno | Social Worker | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2013-08-07 |
| 1790036085 | Andrea Carolina Moreno | Counselor | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2012-09-26 |
| Street Address |
13116 FLAGSTAFF DR |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91739-9262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699230300 | Gogo Medical Transport Inc. | Non-emergency Medical Transport (VAN) | 13269 Firestone Dr, Rancho Cucamonga, CA 91739 | 2019-02-06 |
| 1306348768 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 7210 Day Creek Blvd, Suite 110, Rancho Cucamonga, CA 91739 | 2018-03-01 |
| 1770082141 | Rajnis Jasani | Pharmacist | 7777-b Milliken Ave, Ste 100, Rancho Cucamonga, CA 91739 | 2018-02-12 |
| 1548787542 | Carla Hibet Castillo | Counselor | 7165 Etiwanda Ave, Rancho Cucamonga, CA 91739 | 2017-08-29 |
| 1598282428 | Yung Chun Chen | Dentist | 12453 Royal Oaks Dr., Montclair, CA 91739 | 2017-08-22 |
| 1508386806 | Emily Rose Marlen | Counselor | 845 E. Arrow Highway, Pomona, CA 91739 | 2017-06-27 |
| 1124384540 | Ameerah Rasheedah-bonner Mcmann | Marriage & Family Therapist | 8481 Etiwanda Avenue, Apartment G, Rancho Cucamonga, CA 91739 | 2012-04-10 |
| 1679866784 | Bodylogics Health Services Inc. | Rehabilitation Practitioner | 12730 Foothill Blvd., Unit 102, Rancho Cucamonga, CA 91739 | 2011-05-23 |
| 1801196027 | Lisa Louise Hazelwood | Psychologist | 9500 Etiwanda Ave., West Valley Detention Center, Attn: Medical Srvcs/liberty Roc, Rancho Cucamonga, CA 91739 | 2010-10-22 |
| 1700023520 | Gideon Puiyuen Kwok | Legal Medicine | 12225 Foothill Blvd #120, Rancho Cucamonga, CA 91739 | 2009-01-15 |
| Find all providers in zip 91739 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323859 | Winnie Njagi Kagendo | Student in an Organized Health Care Education/Training Program | 10855 Church St, Rancho Cucamonga, CA 91730-6622 | 2020-07-17 |
| 1861029951 | Ismail Sohail Khan | Student in an Organized Health Care Education/Training Program | 12821 Mediterranean Dr, Rancho Cucamonga, CA 91739-8954 | 2020-03-26 |
| 1730735655 | Rosamaria Lopez Diaz | Student in an Organized Health Care Education/Training Program | 6828 Parma Pl, Rancho Cucamonga, CA 91701-8568 | 2019-08-15 |
| 1255997078 | Stephanie Renee Bettess | Student in an Organized Health Care Education/Training Program | 10730 Church St Apt 177, Rancho Cucamonga, CA 91730-6824 | 2019-05-16 |
| 1093266272 | Pashtana Baluch | Student in an Organized Health Care Education/Training Program | 11201 5th St Apt B303, Rancho Cucamonga, CA 91730-5979 | 2016-10-21 |
| 1861817231 | Earl Liotti | Student in an Organized Health Care Education/Training Program | 11777 Sebastian Way, Rancho Cucamonga, CA 91730-0707 | 2014-02-21 |
| 1407135940 | Ahmed Nowaf Dehal | Student in an Organized Health Care Education/Training Program | 9200 Milliken Ave, 4204, Rancho Cucamonga, CA 91730-5484 | 2011-08-16 |
| 1780896191 | Douglas Brian Holl | Student in an Organized Health Care Education/Training Program | 10737 Laurel St, Suite #230, Rancho Cucamonga, CA 91730-3837 | 2007-05-06 |
| 1598185902 | Danelle Guadamuz | Student in an Organized Health Care Education/Training Program | 9500 Haven Ave, Rancho Cucamonga, CA 91730-5807 | 2014-04-24 |
| 1609204593 | Chrissie Radcliff | Student in an Organized Health Care Education/Training Program | 11777 Sebastian Way Ste 102, Rancho Cucamonga, CA 91730-0707 | 2013-10-31 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91739 |
Please comment or provide details below to improve the information on ANDREA MORENO.
| 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.