Active NPI
Lillian Marie Moreno
- Speech-Language Assistant
- Fullerton, CA
National Provider Identifier
1629989504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 8824
- Practice address
- 725 San Ramon Dr
Fullerton, CA 92835-1238 - Phone
- (210) 668-9444
- NPI assigned
- Sep 17, 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 |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 8824 | CA | Primary |
Addresses
Primary practice location
725 San Ramon Dr
Fullerton, CA 92835-1238
Mailing address
2610 Associated Rd Apt A1
Fullerton, CA 92835-3228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1629989504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 ASSOCIATED RD APT A1",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 SAN RAMON DR",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928351238",
"telephone_number": "210-668-9444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "LILLIAN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-17",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "8824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.