Active NPI
Antonio Moreno
- Certified Registered Nurse Anesthetist
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95001104
- Practice address
- 2101 N Waterman Ave
San Bernardino, CA 92404-4836 - Phone
- (909) 883-8711
- NPI assigned
- Apr 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 95001104 | CA | Primary |
Addresses
Primary practice location
2101 N Waterman Ave
San Bernardino, CA 92404-4836
Mailing address
25590 Prospect Ave Apt 25H
Loma Linda, CA 92354-3149
Phone (323) 440-1388
Other practice location 1
44139 Monterey Ave Ste B
Palm Desert, CA 92260-8700
Phone (760) 773-4411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11234 Anderson St
Loma Linda, CA 92354-2804
11370 Anderson St
Loma Linda, CA 92354-3450
26780 Barton Rd
Redlands, CA 92373-4308
Phone (909) 558-5174
44139 Monterey Ave
Suite B
Palm Desert, CA 92260-8700
Phone (760) 779-5599
File Number
Suite 54701
Los Angeles, CA 90074-4701
Hospital & facility affiliations
- Loma Linda University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Palm Springs Anesthesia Services, PC | Anesthesiology | Current | Accepting new patients |
| San Gabriel Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Anesthesiology | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Loma Linda University Children'S Hospital | Past | Accepting new patients | |
| Sda Services of Ca | Anesthesiology | Past | Accepting new patients |
| Loma Linda University Medical Center | Past | Accepting new patients |
Locations
288 N Santa Anita Ave
Ste 404
Arcadia, CA 91006
Phone (626) 289-2223
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
44139 Monterey Ave
Ste B
Palm Desert, CA 92260
Phone (760) 773-4411
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333
Organizations & group practices 8
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Certified Registered Nurse Anesthetist
- Santa Ana, CA
- NPI 1538424908
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- San Bernardino, CA
- NPI 1083928501
-
- Pediatrics Physician
- San Bernardino, CA
- NPI 1124077516
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
Anesthesiology
-
- Children's Hospital
- Loma Linda, CA
- NPI 1366866345
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- Anesthesiology Physician
- Crescent City, CA
- NPI 1417428970
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1154984706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25590 PROSPECT AVE APT 25H",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543149",
"telephone_number": "323-440-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 N WATERMAN AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924044836",
"telephone_number": "909-883-8711"
}
],
"practiceLocations": [
{
"address_1": "44139 Monterey Ave Ste B",
"address_purpose": "LOCATION",
"city": "Palm Desert",
"state": "CA",
"postal_code": "922608700",
"country_code": "US",
"telephone_number": "760-773-4411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO",
"first_name": "ANTONIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-18",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95001104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.