Charlene Robyn Medina Moresco

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95035791 Issued in CA

Practice address

980 Enchanted Way Ste 206
Simi Valley, CA 93065-0913

Phone

(800) 442-1558

Fax

(805) 581-0286

NPI assigned

Jul 2, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Guardian Angel Home Health Agency, Inc.

  • Home Health Agency
  • Simi Valley, CA
  • NPI 1154381267
  NPD

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1356230346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28341 WILLOW CT",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913504438",
            "telephone_number": "818-817-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 ENCHANTED WAY STE 206",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930650913",
            "telephone_number": "800-442-1558",
            "fax_number": "805-581-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORESCO",
        "first_name": "CHARLENE ROBYN",
        "middle_name": "MEDINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95035791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mine Moosakhanian, FNP-C
• Jeffrey Ryan Mora, M.D.
• Cristina Evita Morales
• Jonathan Morales
• More Care Hospice, Inc.
• George Morrera, PHD
• Mackenzie Morrison
• Janelle Morrow, MHA
• Hala Ahmed Morsi, RPH
• Mitchell Wayne Mosdell, DPT

• Family Nurse Practitioner in Simi Valley, CA
• Providers in Simi Valley, 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 Jul 2, 2025; 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.
• 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.