Samuel Carvajal Moreno Jr.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

700 N Johnson Ave Ste P
El Cajon, CA 92020-2589

Phone

(619) 441-1907

NPI assigned

Jun 29, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1639749922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N JOHNSON AVE STE P",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202589",
            "telephone_number": "619-441-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N JOHNSON AVE STE P",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202589",
            "telephone_number": "619-441-1907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 3rd Ave Ste B8",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919103990",
            "country_code": "US",
            "telephone_number": "855-223-7123",
            "fax_number": "619-374-7134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARVAJAL MORENO",
        "first_name": "SAMUEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Lynn Carter, M.A.
• Tina Lashaun Carter
• Zsuzsa Carter
• Giovannina M Caruso, MFT
• Robert Gerard Caruso, DC
• Guillermo Delgado Casanada Jr., PT, DPT
• Melissa Mariana Casanova
• Hannah Case
• Caserma Chiropractic, Inc.
• Gina Caserma, D.C.

• Student in an Organized Health Care Education/Training Program in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.