Paula Moreno

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95010447 Issued in CA

Practice address

395 Oyster Point Blvd Ste 512
South San Francisco, CA 94080-1973

Phone

(650) 826-2945

NPI assigned

Nov 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: pmoreno@landmarkhealth-direct.org

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1396215943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 3RD ST APT 4",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013568",
            "telephone_number": "415-572-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 OYSTER POINT BLVD STE 512",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801973",
            "telephone_number": "650-826-2945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Drake Ave",
            "address_purpose": "LOCATION",
            "city": "Sausalito",
            "state": "CA",
            "postal_code": "949651107",
            "country_code": "US",
            "telephone_number": "415-339-8813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO",
        "first_name": "PAULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "95010447",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95010447",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Morales
• Fernanda Moreira
• Morello Family Chiropractic, Inc
• Nathan Morello, D.C.
• Janesses Moreno
• James P.G. Morris, MD
• Lisa Renee Morris, RN, CNS
• Suzanne Marie Morris, PHARM.D.
• Thomas J. Morris, MD
• Rofida Morsy

• Family Nurse Practitioner in South San Francisco, CA
• Providers in South San Francisco, 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 May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.