Gladys Edith Moreno, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95015103 Issued in CA

Practice address

1921 18TH St
Bakersfield, CA 93301-4205

Phone

(661) 327-9693

NPI assigned

Dec 17, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kern Allergy Medical Clinic, Inc.

  • Allergy & Immunology Physician
  • Bakersfield, CA
  • NPI 1922179050
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1023580966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 18TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014205",
            "telephone_number": "661-327-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 18TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014205",
            "telephone_number": "661-327-9693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1624 Fairview Rd",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933075512",
            "country_code": "US",
            "telephone_number": "661-837-6130 x4118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 S H St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933043403",
            "country_code": "US",
            "telephone_number": "661-412-7788",
            "fax_number": "661-412-7799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO",
        "first_name": "GLADYS",
        "middle_name": "EDITH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015103",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "803346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgar Moreno, PA-C
• Elana Melissa Moreno
• Fatima Jasiel Moreno
• Gavriela Moreno
• Genesis Moreno
• Gustavo Robert Moreno III
• Javier G Moreno, CATC
• Joel Moreno, MFT
• Joel Angel Moreno, CADC-CAS
• Laura Moreno

• Family Nurse Practitioner in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.