Active NPI
Reina D Moran, NP
- Family Nurse Practitioner
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12262
- Practice address
- 1401 W 1St St Ste 101
Santa Ana, CA 92703-3757 - Phone
- (714) 542-9700
- Fax
- (714) 542-9708
- NPI assigned
- Jan 7, 2020
- Last updated
- Mar 1, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 12262 | CA | Primary |
Addresses
Primary practice location
1401 W 1St St Ste 101
Santa Ana, CA 92703-3757
Mailing address
14550 Haynes St
Van Nuys, CA 91411-1613
Phone (818) 650-6700
Other practice location 1
12100 Valley Blvd Ste 109A
El Monte, CA 91732-3161
Phone (626) 575-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prompt Laboratories Inc | Current | Accepting new patients | |
| Southern California Medical Center, Inc. | Current | Accepting new patients | |
| Southern California Medical Center, Inc. | Current | Accepting new patients | |
| Advance Urgent Medical Group Inc | Current | Accepting new patients |
Locations
1300 Valley Vista Dr
Ste 102
Diamond Bar, CA 91765
Phone (626) 389-7498
12100 Valley Blvd
Ste 109A
El Monte, CA 91732
Phone (626) 575-7500
1401 W 1st St
Ste 101
Santa Ana, CA 92703
Phone (714) 542-9700
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Maintenance Organization
- Santa Ana, CA
- NPI 1881847424
-
- Clinical Medical Laboratory
- Riverside, CA
- NPI 1174250112
-
- Community Health Clinic/Center
- El Monte, CA
- NPI 1225357114
-
- Federally Qualified Health Center (FQHC)
- Long Beach, CA
- NPI 1447865415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1518507698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14550 HAYNES ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914111613",
"telephone_number": "818-650-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W 1ST ST STE 101",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927033757",
"telephone_number": "714-542-9700",
"fax_number": "714-542-9708"
}
],
"practiceLocations": [
{
"address_1": "12100 Valley Blvd Ste 109A",
"address_purpose": "LOCATION",
"city": "El Monte",
"state": "CA",
"postal_code": "917323161",
"country_code": "US",
"telephone_number": "626-575-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORAN",
"first_name": "REINA",
"middle_name": "D",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-07",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "12262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.