LUIS ADALBERTO MORENO JR. (NPI# 1477519163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477519163 |
| Entity Type | Individual |
| Full Name | LUIS ADALBERTO MORENO JR. |
| Credential | MD |
| Practice Address |
1600 W Avenue J Lancaster CA 93534-2814 |
| Mailing Address |
1637 W Avenue H4 Lancaster CA 93534-5411 |
| Practice Telephone | 6619495000 |
| Mailing Telephone | 8185157035 |
| Mailing Fax Number | 3235710576 |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2010-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
A72309 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A723090 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518311430 | Luis Moreno | Social Worker | 4632 E 56th St, Maywood, CA 90270-2908 | 2016-04-18 |
| 1538372958 | Luis Antonio Moreno | Military Health Care Provider | 845 Crestwood Ave, Titusville, FL 32796-2265 | 2007-05-08 |
| 1720042054 | Luis E Moreno | General Practice | Las Flores St 76 No, Catano, PR 00962 | 2006-04-13 |
| 1811965809 | Luis A Moreno | Legal Medicine | Street Luis Munoz Rivera 36 Interior, Santa Isabel, PR 00757 | 2006-03-08 |
| 1639727456 | Luis Moreno | Behavior Technician | 3333 Vaca Valley Pkwy Ste 900, Vacaville, CA 95688-9419 | 2019-08-27 |
| 1649839259 | Luis Armando Moreno | Family Medicine | 2075 E Flamingo Rd, Las Vegas, NV 89119-5188 | 2019-06-07 |
| 1730600081 | Luis Moreno | Registered Nurse | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2017-06-27 |
| Street Address |
1600 W AVENUE J |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236025 | James Helfrich Mcmillan | Obstetrics & Gynecology | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2005-06-25 |
| 1376144840 | Christina Trieu | Occupational Therapist | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-11-02 |
| 1770180382 | Antelope Valley Inpatient Pediatric Associates, Inc | Pediatrics | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-10-06 |
| 1679180574 | Beena Batna | Registered Nurse | 1600 W Avenue J, Lancaster, CA 93534-2894 | 2020-09-25 |
| 1538772090 | Stephanie N Smith | Nurse Practitioner | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-08-25 |
| 1134746639 | Jeremy Ryan Kennedy | Registered Nurse | 1600 W Avenue J, Lancaster, CA 93534-2894 | 2020-06-30 |
| 1295366656 | Sam Joed Abid IIi | Pharmacist | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-02-03 |
| 1316584907 | Christopher Timothy Pereida | Clinic/Center | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2019-12-03 |
| 1568013142 | David Thai | Nurse Practitioner | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2019-09-24 |
| 1356997050 | Glenn Gabrang | Registered Nurse | 1600 W Avenue J, Lancaster, CA 93534-2894 | 2019-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124068945 | Sudesh H Kedar | Emergency Medicine | 1133-b Highway 9 Bypass, Lancaster, SC 29720-1709 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576576 | Thethong P Thepvong | Emergency Medicine | 900 W Belgravia Ave, Fresno, CA 93706-3909 | 2020-10-21 |
| 1003441148 | Heather K Mineo | Emergency Medicine | 1908 Spahn Ln, Placentia, CA 92870-2844 | 2020-03-10 |
| 1407497837 | Jaskaranpreet Kaur Sahota | Emergency Medicine | 426 4th Street, Marysville, CA 95901 | 2019-10-07 |
| 1215493515 | Karla Beatriz Sonnier | Emergency Medicine | 17822 Cardiff Cir, Huntington Beach, CA 92649-4807 | 2019-02-12 |
| 1568992923 | American Specialty Physicians Group Inc | Emergency Medicine | 700 17th St Ste 205, Modesto, CA 95354-1249 | 2017-06-18 |
| 1841659067 | George Michael Savage | Emergency Medicine | 2600 Bridge Parkway, Proteus Digital Health, Redwood City, CA 94065 | 2016-02-16 |
| 1053779553 | Robert Alan Hochman | Emergency Medicine | 526 Firecrest Court, Newbury Park, CA 91320-5022 | 2016-01-29 |
| 1578954319 | Amerco Health Enterprise, Inc | Emergency Medicine | 1006 E Bastanchury Rd, Fullerton, CA 92835-2782 | 2015-02-16 |
| 1134543945 | Francine Vogler | Emergency Medicine | 22631 Pacific Coast Highway, #796, Malibu, CA 90265 | 2014-02-13 |
| 1396081659 | Kent Benedict | Emergency Medicine | 3283 Valencia Ave, Aptos, CA 95003-4122 | 2012-12-13 |
| Find all providers with the same taxonomy | ||||
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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.