Active NPI
Regina Y. Moreno
- Marriage & Family Therapist
- San Mateo, CA
National Provider Identifier
1639299233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC34639
- Practice address
- 222 Paul Scannell Dr
San Mateo, CA 94402-4061 - Phone
- (650) 312-5352
- Fax
- (650) 312-5305
- NPI assigned
- Mar 29, 2007
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC34639 | CA | Primary |
Addresses
Primary practice location
222 Paul Scannell Dr
San Mateo, CA 94402-4061
Mailing address
222 Paul Scannell Dr
San Mateo, CA 94402-4061
Phone (650) 312-5352
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 |
|---|---|---|---|
| MFC34639 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1639299233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 PAUL SCANNELL DR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944024061",
"telephone_number": "650-312-5352",
"fax_number": "650-312-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 PAUL SCANNELL DR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944024061",
"telephone_number": "650-312-5352",
"fax_number": "650-312-5305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "REGINA",
"middle_name": "Y.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC34639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.