Active NPI
Lorena Rubi Moreno
- Rehabilitation Practitioner
- Lancaster, CA
National Provider Identifier
1689218141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- E2148491
- Practice address
- 43909 30TH St W
Lancaster, CA 93536-5843 - Phone
- (661) 952-5000
- NPI assigned
- Oct 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | E2148491 | CA | Primary |
Addresses
Primary practice location
43909 30TH St W
Lancaster, CA 93536-5843
Mailing address
PO Box 9411
Lancaster, CA 93539-9411
Phone (661) 400-1272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E2148491 | Medicaid | CA |
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 |
|---|---|---|---|
| E2148491 | CA | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1689218141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9411",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935399411",
"telephone_number": "661-400-1272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43909 30TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935365843",
"telephone_number": "661-952-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "LORENA",
"middle_name": "RUBI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-28",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": "E2148491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "E2148491",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.