AMBER MORENO-PEREZ (NPI# 1821621814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821621814 |
Entity Type | Individual |
Full Name | AMBER MORENO-PEREZ |
Practice Address |
3200 San Diego Way Sacramento CA 95820-1447 |
Mailing Address |
1300 Ethan Way Sacramento CA 95825-2211 |
Practice Telephone | 9714014661 |
Mailing Telephone | 2095214791 |
Mailing Fax Number | 2095214794 |
Enumeration Date | 2020-02-18 |
Last Update Date | 2020-05-14 |
NPI Deactivation Date | 02/18/2020 |
NPI Reactivation Date | 2020-05-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
Street Address |
3200 SAN DIEGO WAY |
City | SACRAMENTO |
State | CA |
Zip Code | 95820-1447 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629676820 | Laraine K Koen | Student in an Organized Health Care Education/Training Program | 123 Brookshire Lane, Sacramento, CA 95820 | 2020-10-12 |
1730737727 | Vincent Tang | Student in an Organized Health Care Education/Training Program | 3230 Sher Court, Sacramento, CA 95820 | 2019-09-03 |
1871159897 | Lauren Smith | Student in an Organized Health Care Education/Training Program | Department of Pediatrics Uc Davis Children's Hospital, 3671 Business Dr. Suite #110, Sacramento, CA 95820 | 2019-05-15 |
1053899336 | Melissa Anne Jeffery | Community Health Worker | 4600 Broadway Suite 1300, Sacramento, CA 95820 | 2018-07-30 |
1841785284 | Chelsea Kirstin Acker | Student in an Organized Health Care Education/Training Program | 3671 Business Dr., Sacramento, CA 95820 | 2018-06-28 |
1770022667 | Shelly Valdez | Behavior Technician | 5520 Priscilla Ln, Sacramento, CA 95820 | 2017-02-13 |
1285184135 | Trang Thu Tran | Registered Nurse | 5385 Franklin Blvd Ste A-d, Sacramento, CA 95820 | 2016-10-04 |
1356716039 | Nicole Hisaka | Psychologist | 3651 Business Dr, Sacramento, CA 95820 | 2015-12-07 |
1538542469 | Universal Med Express, LLC | Non-emergency Medical Transport (VAN) | 3230 27th Ave, Sacramento, CA 95820 | 2015-07-09 |
1033507470 | Moua Yang | Case Manager/Care Coordinator | 7373 14th Ave, Suite 120-b, Sacramento, CA 95820 | 2015-01-08 |
Find all providers in zip 95820 |
Taxonomy Code | 156F00000X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
A broad category grouping different kinds of technologists and technicians. See individual definitions. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053810184 | Heidi Katherine Wilson | Technician/Technologist | 2035 Hurley Way Ste 290, Sacramento, CA 95825-3221 | 2018-02-05 |
1982129987 | Naveen Akhtar | Technician/Technologist | 2035 Hurley Way Ste 290, Sacramento, CA 95825-3221 | 2017-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437765393 | Jessica Jewel Morrow | Technician/Technologist | 466 Cory Ct, Santa Maria, CA 93455-5525 | 2020-09-16 |
1811515505 | Steven Pier Hoekstra | Technician/Technologist | 800 W 16th St, Long Beach, CA 90813-1413 | 2020-07-08 |
1023632775 | Hifinite Inc | Technician/Technologist | 11413 W Bernardo Ct, San Diego, CA 92127-1639 | 2020-05-28 |
1073136982 | Daniel Pere | Technician/Technologist | 9037 Pecor Way, Orangevale, CA 95662-4791 | 2020-05-26 |
1013548015 | Nancy Afholderbach | Technician/Technologist | 265 Heron Dr, Pittsburg, CA 94565-1916 | 2020-01-28 |
1265070452 | Brain Cloud Diagnostics | Technician/Technologist | 9727 Elk Grove Florin Rd Ste 160, Elk Grove, CA 95624-2291 | 2019-12-18 |
1902444714 | John Bridenbeck | Technician/Technologist | 3478 Buskirk Ave Ste 218, Pleasant Hill, CA 94523-4346 | 2019-12-12 |
1215574629 | Blythe Lucy Ann Lehmann | Technician/Technologist | 420 Folsom Rd Ste B, Roseville, CA 95678-2767 | 2019-12-04 |
1164070298 | Urban Eyewear Inc | Technician/Technologist | 3345 Rosecrans St Ste 3b, San Diego, CA 92110-4225 | 2019-09-02 |
1336791961 | Sophia Boettcher | Technician/Technologist | 367 Santana Hts Unit 4014, San Jose, CA 95128-2078 | 2019-07-13 |
Find all providers with the same taxonomy |
City | SACRAMENTO |
Zip Code | 95820 |
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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.