Individual provider Active NPI

Miguel Moreno Jr.

  • Registered Respiratory Therapist
  • Chula Vista, CA
National Provider Identifier
1730591587
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
21918 Issued in CA
Practice address
1753 Barbour Ave
Chula Vista, CA 91913-4314
Phone
(619) 921-9638
NPI assigned
May 28, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 21918 CA Primary
Critical Care Registered Respiratory Therapist 2279C0205X 21918 CA
Home Health Registered Respiratory Therapist 2279H0200X 21918 CA

Addresses

Primary practice location

1753 Barbour Ave
Chula Vista, CA 91913-4314

Mailing address

1753 Barbour Ave
Chula Vista, CA 91913-4314
Phone (619) 921-9638

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

LicenseStateTypeSpecialty
21918CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1730591587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 BARBOUR AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919134314",
            "telephone_number": "619-921-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 BARBOUR AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919134314",
            "telephone_number": "619-921-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "MIGUEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CA",
            "license": "21918",
            "primary": true
        },
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "CA",
            "license": "21918",
            "primary": false
        },
        {
            "code": "2279H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": "CA",
            "license": "21918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.