Moreno Family Medical and Associates Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A8031 Issued in CA

Legal business name

MORENO FAMILY MEDICAL AND ASSOCIATES INC

Doing business as

Chino Hills Family Medical Group

Practice address

15361 Central Ave
Chino, CA 91710-7608

Phone

(909) 393-7171

NPI assigned

Oct 24, 2014

Organization subpart

No

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

Authorized official

Name

Cynthia Moreno, D.O.NPI 1053394817

Title

Owner

Phone

(909) 393-7171

Specialties & licenses 1

Addresses

Other names 1

• Chino Hills Family Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Diane Moreno, D.O.

  • Family Medicine Physician
  • Chino, CA
  • NPI 1053394817
  Medicare reassignment NPD Authorized official
• Crystal Nicole Johnson, FNP-C

  • Family Nurse Practitioner
  • Chino, CA
  • NPI 1902588726
  Medicare reassignment NPD
• Sarah Detorres

  • Physician Assistant
  • Chino, CA
  • NPI 1720411275
  Medicare reassignment
• Kristi Jo Diehl, PA-C

  • Medical Physician Assistant
  • Chino, CA
  • NPI 1417080052
  Medicare reassignment
• Ailin Ko, PA

  • Physician Assistant
  • Covina, CA
  • NPI 1356917421
  Medicare reassignment
• Rana Lee, PA-C

  • Physician Assistant
  • Mission Viejo, CA
  • NPI 1154090645
  Medicare reassignment
• Elvia Ramirez Sandhu, P.A.

  • Physician Assistant
  • Chino, CA
  • NPI 1912280173
  Medicare reassignment
• Kathryn Rodrigues, PA-C

  • Physician Assistant
  • Chino, CA
  • NPI 1598349508
  NPD (past)

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1043615610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15361 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107608",
            "telephone_number": "909-393-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15361 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107608",
            "telephone_number": "909-393-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORENO FAMILY MEDICAL AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-393-7171",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chino Hills Family Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aileen Mora
• Branden Ghazi Morad, D.D.S.
• Annalisa Agnote Moral, CRNA
• Karina Morales, LMFT
• Parisa Moravedje Torbaty, DDS
• Cynthia Diane Moreno, D.O.
• Lawrence Morris, O.D.
• Amber Beth Moryl, MS, MPAS, PA-C
• MP Medical Services, Inc
• MTS Health Supplies Inc

• Family Medicine Physician in Chino, CA
• Providers in Chino, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.