Monica Moreno

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

1518554153 Issued in CA

Practice address

1141 Ringwood CT Ste 110B
San Jose, CA 95131-1756

Phone

(661) 380-0766

NPI assigned

Dec 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Earth Transportation

  • Driver
  • San Jose, CA
  • NPI 1801585005
  NPD Authorized official

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1518554153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 STOOPS LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933073171",
            "telephone_number": "661-380-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 RINGWOOD CT STE 110B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311756",
            "telephone_number": "661-380-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "MONICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2022-12-15",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "1518554153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "endpointDescription": "Desktop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1141 Ringwood Ct Ste 110B",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951311756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jalene Donica Moreno, PH.D., BCBA-D
• Jose Venegas Moreno, MFTI
• Kristina Moreno
• Leilani Moreno
• Mark Moreno
• Regina J Moreno
• Rochelle Moreno
• Vicente Moreno
• Catalina Morera Valbuena
• Jenifer Moretto Simon, RD

• Non-emergency Medical Transport (VAN) in San Jose, CA
• Providers in San Jose, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.