Active NPI
Jaysen Eduardo Moreno, AU.D.
- Audiologist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA16225
- Practice address
- 2910 N 3Rd Ave # 330
Phoenix, AZ 85013-4434 - Phone
- (602) 406-8811
- Fax
- (602) 406-8810
- NPI assigned
- May 23, 2025
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | DA16225 | AZ | Primary |
Addresses
Primary practice location
2910 N 3Rd Ave # 330
Phoenix, AZ 85013-4434
Mailing address
240 W Thomas Rd # 301
Phoenix, AZ 85013-4407
Phone (602) 406-7765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 W Thomas Rd
680 DHMG St Joseph'S Pelvic Pain and Surg
Phoenix, AZ 85013-4235
Phone (602) 406-6017
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA16225 | AZ | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sjhmc Physician Services | Current | Accepting new patients | |
| St. Joseph'S Hospital and Medical Center | Current | Accepting new patients |
Locations
500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017
240 W Thomas Rd
Ste 301
Phoenix, AZ 85013
Phone (602) 406-6262
2910 N 3rd Ave
Ste 330
Phoenix, AZ 85013
Phone (602) 406-8811
240 W Thomas Rd
#301
Phoenix, AZ 85013
Phone (602) 406-6262
2910 N 3rd Ave
#330
Phoenix, AZ 85013
Phone (602) 406-8811
File 56765
Los Angeles, CA 90074
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
-
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1255382412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1316730203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W THOMAS RD # 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134407",
"telephone_number": "602-406-7765",
"fax_number": "602-294-5519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 N 3RD AVE # 330",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134434",
"telephone_number": "602-406-8811",
"fax_number": "602-406-8810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "JAYSEN",
"middle_name": "EDUARDO",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-23",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA16225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.