Gregory Moreno (NPI# 1245249481, PAC ID# 2365440286) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1245249481 |
| PAC ID by PECOS | 2365440286 |
| Professional Enrollment ID | I20061130000521 |
| Full Name | Gregory Moreno |
| Organization Legal Name | MEDHERO SAN CLEMENTE A PROFESSIONAL MEDICAL CORPORATION |
| Address |
905 Calle Amanecer Suite 115 San Clemente CA 92673-6226 |
| Phone Number | 9492073603 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3971809740 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 905 Calle Amanecer, Suite 115, San Clemente, CA 92673-6226 | 9492073603 | MEDHERO SAN CLEMENTE A PROFESSIONAL MEDICAL CORPORATION |
| Organization Legal Name | MEDHERO SAN CLEMENTE A PROFESSIONAL MEDICAL CORPORATION |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audrey Zanzucchi | Physician Assistant | Medhero San Clemente A Professional Medical Corporation | 905 Calle Amanecer, Suite 115, San Clemente, CA 92673-6226 |
| Alexandra B Huey | Physician Assistant | Medhero San Clemente A Professional Medical Corporation | 905 Calle Amanecer, Suite 115, San Clemente, CA 92673-6226 |
| Nicole Stenquist | Physician Assistant | Medhero San Clemente A Professional Medical Corporation | 905 Calle Amanecer, Suite 115, San Clemente, CA 92673-6226 |
| Street Address |
905 CALLE AMANECER SUITE 115 |
| City | SAN CLEMENTE |
| State | CA |
| Zip | 92673-6226 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audrey Zanzucchi | Physician Assistant | Medhero San Clemente A Professional Medical Corporation | 905 Calle Amanecer, Suite 115, San Clemente, CA 92673-6226 |
| Alexandra B Huey | Physician Assistant | Medhero San Clemente A Professional Medical Corporation | 905 Calle Amanecer, Suite 115, San Clemente, CA 92673-6226 |
| Nicole Stenquist | Physician Assistant | Medhero San Clemente A Professional Medical Corporation | 905 Calle Amanecer, Suite 115, San Clemente, CA 92673-6226 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William L Van Der Reis | Orthopedic Surgery | 653 Camino De Las Mares, Suite 109, Sam Clemente, CA 92673 | |
| Sandra K Wong | Physical Therapy | 660 Camino De Los Mares, San Clemente, CA 92673-1800 | |
| Jeffrey Felgner | Family Practice | Advanced Medical Home Physicians Inc | 660 Camino De Los Mares, San Clemente, CA 92673-1800 |
| Bella Darji | Nurse Practitioner | Advanced Medical Home Physicians Inc | 660 Camino De Los Mares, San Clemente, CA 92673-1800 |
| Holly K Finley | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| David W Reenders | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Megan E Parent | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Sonia D Armbruster | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Maren T George | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Burton Leland Wagner | Chiropractic | 647 Camino De Los Mares, Suite 220, San Clemente, CA 92673-2807 | |
| Find all physicians in zip 92673 | |||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SAN CLEMENTE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Gregory Moreno.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.