Active NPI
Maricarmen Moreno
- Medical Physician Assistant
- Santa Cruz, CA
National Provider Identifier
1386599330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 26-1543
- Practice address
- 200 7TH Ave
Santa Cruz, CA 95062-4668 - Phone
- (831) 462-1060
- NPI assigned
- Mar 3, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 26-1543 | CA | Primary |
Addresses
Primary practice location
200 7TH Ave
Santa Cruz, CA 95062-4668
Mailing address
200 7TH Ave
Santa Cruz, CA 95062-4668
Phone (831) 462-1060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26-1543 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1386599330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 7TH AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950624668",
"telephone_number": "831-462-1060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 7TH AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950624668",
"telephone_number": "831-462-1060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "MARICARMEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-03",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "26-1543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.