MR. MANUEL M MORENO (NPI# 1295007771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295007771 |
| Entity Type | Individual |
| Full Name | MR. MANUEL M MORENO |
| Practice Address |
2933 N El Nido Dr. El Nido Campus Altadena CA 91104 |
| Practice Telephone | 6263957100 |
| Mailing Telephone | 6263957100 |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2012-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174837066 | Manuel F Moreno | Clinic/Center | 9600 Sw 8th St Ste 21, Miami, FL 33174-2968 | 2010-08-03 |
| 1720016629 | Manuel Moreno IIi | Specialist/Technologist, Other | 4501 S Expressway 83, Harlingen, TX 78550-7953 | 2006-06-29 |
| 1275991929 | Manuel A Moreno | Nurse Practitioner | 1855 1st Ave, 200-b, San Diego, CA 92101-2685 | 2016-02-09 |
| 1649414079 | Manuel Eduardo Moreno | Internal Medicine | 8900 N Kendall Dr, Miami, Miami, FL 33176-2118 | 2009-04-29 |
| 1023079506 | Manuel V Moreno | Anesthesiology | 215 E Water St, Muncy, PA 17756-8828 | 2006-04-01 |
| Street Address |
2933 N EL NIDO DR. EL NIDO CAMPUS |
| City | ALTADENA |
| State | CA |
| Zip Code | 91104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1699257055 | Aqueelah Russell | Lactation Consultant, Non-RN | 855 N. Catalina Ave, Pasadena, CA 91104 | 2018-09-02 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
| 1477893782 | Med Tec Diagnostic Inc. | Clinic/Center | 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 | 2013-02-22 |
| 1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
| 1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
| Find all providers in zip 91104 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720340284 | Terri Genai Jenkins | Rehabilitation Practitioner | 177 W Poppyfields Dr, Altadena, CA 91001-4361 | 2012-06-11 |
| 1164718847 | Leslie Ann Turner | Rehabilitation Practitioner | 2046 N Allen Ave., Altadena, CA 91001-3424 | 2011-06-22 |
| 1629305875 | Adisha Adena White-emuze | Rehabilitation Practitioner | 748 1/2 Ventura St, Altadena, CA 91001-4967 | 2009-11-09 |
| 1134386329 | Stafford O'brian Evans | Rehabilitation Practitioner | 760 W Mountain View, Altadena, CA 91001 | 2008-05-16 |
| 1750995163 | Dareishia Emma Morris | Rehabilitation Practitioner | 2235 Lake Ave Ste 211, Altadena, CA 91001-2491 | 2020-09-02 |
| 1598380446 | Jalicia Tania Griffin | Rehabilitation Practitioner | 760 Mountain View St, Altadena, CA 91001-4996 | 2020-06-16 |
| 1407471360 | Lorenzo Maya | Rehabilitation Practitioner | 760 Mountain View St, Altadena, CA 91001-4996 | 2020-06-16 |
| 1275158222 | Shannon E Crane | Rehabilitation Practitioner | 760 Mountain View St, Altadena, CA 91001-4996 | 2020-06-15 |
| 1093357782 | Nina Elizabeth Beasley | Rehabilitation Practitioner | 760 Mountain View St, Altadena, CA 91001-4996 | 2019-10-14 |
| 1710535356 | Janis Jennifer Ochoa | Rehabilitation Practitioner | 760 Mountain View St, Altadena, CA 91001-4925 | 2019-08-27 |
| Find all providers in ALTADENA | ||||
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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.