Active NPI
Candice Odette Moreno, M.D.
- Pediatrics Physician
- Torrance, CA
National Provider Identifier
1740643501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A153903
- Practice address
- 1000 W Carson St
Torrance, CA 90502-2004 - Phone
- (310) 222-2301
- Fax
- (310) 328-0864
- NPI assigned
- Mar 30, 2016
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A153903 | CA | Primary |
Addresses
Primary practice location
1000 W Carson St
Torrance, CA 90502-2004
Mailing address
1000 W Carson St
Torrance, CA 90502-2004
Phone (310) 222-2301
Other practice location 1
200 E Anaheim St
Wilmington, CA 90744-4516
Phone (310) 522-8700
Other practice location 2
1414 S Grand Ave Ste 380
Los Angeles, CA 90015-3072
Phone (213) 222-1300
Other practice location 3
4455 W 117th St Ste 300
Hawthorne, CA 90250-2240
Phone (424) 236-4800
Other names 1
- Dr. Candice Odette Rojas-Moreno
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A153903 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1740643501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W CARSON ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022004",
"telephone_number": "310-222-2301",
"fax_number": "310-328-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W CARSON ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022004",
"telephone_number": "310-222-2301",
"fax_number": "310-328-0864"
}
],
"practiceLocations": [
{
"address_1": "200 E Anaheim St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "CA",
"postal_code": "907444516",
"country_code": "US",
"telephone_number": "310-522-8700",
"fax_number": "310-549-4546",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1414 S Grand Ave Ste 380",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900153072",
"country_code": "US",
"telephone_number": "213-222-1300",
"fax_number": "213-222-1333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4455 W 117th St Ste 300",
"address_purpose": "LOCATION",
"city": "Hawthorne",
"state": "CA",
"postal_code": "902502240",
"country_code": "US",
"telephone_number": "424-236-4800",
"fax_number": "424-236-4801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO",
"first_name": "CANDICE",
"middle_name": "ODETTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-30",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A153903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDICE",
"last_name": "ROJAS-MORENO",
"middle_name": "ODETTE",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.