MS. LAUREN CHARLIE MORENO (NPI# 1932579620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932579620 |
| Entity Type | Individual |
| Full Name | MS. LAUREN CHARLIE MORENO |
| Credential | PA |
| Practice Address |
7734 N 59th Ave Glendale AZ 85301 |
| Mailing Address |
1533 E Willetta St Phoenix AZ 85006-2935 |
| Practice Telephone | 6025693999 |
| Practice Fax Number | 6025693887 |
| Mailing Telephone | 6025693999 |
| Mailing Fax Number | 6025693887 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 6136 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 074174 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659802163 | Lauren Moreno | Student in an Organized Health Care Education/Training Program | 7523 Basswood Forest Ct, Houston, TX 77095-4311 | 2017-03-26 |
| 1700411485 | Lauren Moreno | Counselor | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2020-03-03 |
| 1295105526 | Lauren Moreno | Counselor | 24275 Jefferson Ave, Murrieta, CA 92562-7285 | 2015-09-29 |
| Street Address |
7734 N 59TH AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689644296 | Alfonso Salas | Pediatrics | 7734 N 59th Ave, Glendale, AZ 85301-7816 | 2006-01-25 |
| 1639649767 | Xochitl Landeros | Nurse Practitioner | 7734 N 59th Ave, Glendale, AZ 85301-7816 | 2018-12-02 |
| 1780174904 | Julia Calderon | Nurse Practitioner | 7734 N 59th Ave, Glendale, AZ 85301-7816 | 2018-05-14 |
| 1891246187 | Celina Ruiz Escamilla | Nurse Practitioner | 7734 N 59th Ave, Glendale, AZ 85301-7816 | 2016-10-21 |
| 1295106391 | Luis Carlos Gutierrez | Physician Assistant | 7734 N 59th Ave, Glendale, AZ 85301-7816 | 2015-10-14 |
| 1467821850 | Reba Abarca | Physical Therapist | 7734 N 59th Ave, Glendale, AZ 85301-7816 | 2015-09-16 |
| 1134468267 | Sam Faulkner Shumway | Physician Assistant | 7734 N 59th Ave, Glendale, AZ 85301-7816 | 2013-02-08 |
| 1154607943 | Bella Vista Optical Pllc | Optometrist | 7734 N 59th Ave, Suite 102, Glendale, AZ 85301-7816 | 2011-10-25 |
| 1275812901 | Martita Marcano Perez | Internal Medicine | 7734 N 59th Ave, Glendale, AZ 85301 | 2011-08-11 |
| 1306099155 | Aaron J. Jensen | Physician Assistant | 7734 N 59th Ave, Glendale, AZ 85301 | 2008-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164051900 | Stateserv Medical of Phoenix LLC | Durable Medical Equipment & Medical Supplies | 5234 W. Missouri, Glendale, AZ 85301 | 2020-04-03 |
| 1366988933 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5148 W. Frier Dr, Glendale, AZ 85301 | 2017-01-06 |
| 1306227830 | Sage Counseling, Inc. | Community/Behavioral Health | 6610 N. 47th Avenue, Suites 6, 7 & 8, Glendale, AZ 85301 | 2015-06-10 |
| 1477802023 | Lori Wyke | Specialist/Technologist | 7301 N. 58th Avenue, Glendale, AZ 85301 | 2012-08-29 |
| 1144581257 | Jerry Harold Brue | Pharmacist | 7772 N 52nd Dr, Glendale, AZ 85301 | 2012-06-05 |
| 1558632935 | Jasmine Rojas | Licensed Practical Nurse | 7301 N. 58th Ave., Glendale Elem. Dist 40, Glendale, AZ 85301 | 2012-01-18 |
| 1184950438 | Victoria Joan Petti | Physical Therapist | 5125 N. 58th Ave, Glendale, AZ 85301 | 2009-10-21 |
| 1598907479 | Westside Speech & Language Services | Clinic/Center | 7415 N. 59th Ave, Glendale, AZ 85301 | 2009-03-24 |
| 1992940241 | Lorraine Pimentel Montes | Specialist | 4441 W. Bethany Home Rd, Glendale, AZ 85301 | 2008-12-15 |
| 1770739922 | Patricia Lee Click | Social Worker | 5400 W. Northern Avenue, Suite 120, Glendale, AZ 85301 | 2008-08-07 |
| Find all providers in zip 85301 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079109 | Elizabeth Yushuva Rpac, Pllc | Physician Assistant | 23220 N 71st Dr, Glendale, AZ 85310-5872 | 2020-10-07 |
| 1033725437 | Kayla Gutierrez | Physician Assistant | 4820 W Mcrae Way, Glendale, AZ 85308-4821 | 2020-09-21 |
| 1487269015 | Olivia Julia Karczewski | Physician Assistant | 7764 76th St, Glendale, NY 11385-8239 | 2020-09-10 |
| 1508470923 | Joseph Robert Walsh | Physician Assistant | 18860 N 75th Dr, Glendale, AZ 85308-5948 | 2020-09-02 |
| 1598384463 | Josi Ann Bernal | Physician Assistant | 17505 N 79th Ave Ste 407, Glendale, AZ 85308-8732 | 2020-04-10 |
| 1497385470 | Elizabeth Sovakian | Physician Assistant | 1000 N Central Ave Ste 140, Glendale, CA 91202-3687 | 2020-01-18 |
| 1689216020 | Zeeshan Ahmad | Physician Assistant | 1101 E Broadway Ste 201, Glendale, CA 91205-1396 | 2019-10-16 |
| 1649821281 | Paige Nelson | Physician Assistant | 6908 W Escuda Dr, Glendale, AZ 85308-5516 | 2019-09-25 |
| 1821641879 | Carelinq Medical Group, Inc. | Physician Assistant | 436 W Colorado St Ste 210a, Glendale, CA 91204-3071 | 2019-07-18 |
| 1538625405 | Armen Avetisyan | Physician Assistant | 1630 Calle Vaquero Apt 207, Glendale, CA 91206-1504 | 2019-02-15 |
| Find all providers in GLENDALE | ||||
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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.