Active NPI
Cecilia Chavez Moreno, MD
- Pediatrics Physician
- Fresno, CA
National Provider Identifier
1821043654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A68973
- Practice address
- 7720 N Fresno St
Suite 104
Fresno, CA 93720-2407 - Phone
- (559) 438-2300
- Fax
- (559) 438-1531
- NPI assigned
- May 23, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A68973 | CA | Primary |
Addresses
Primary practice location
7720 N Fresno St
Suite 104
Fresno, CA 93720-2407
Mailing address
7720 N Fresno St
Suite 104
Fresno, CA 93720-2407
Phone (559) 438-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A689730 | Medicaid | AL |
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 |
|---|---|---|---|
| A68973 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1821043654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7720 N FRESNO ST",
"address_2": "SUITE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202407",
"telephone_number": "559-438-2300",
"fax_number": "559-438-1531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7720 N FRESNO ST",
"address_2": "SUITE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202407",
"telephone_number": "559-438-2300",
"fax_number": "559-438-1531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "CECILIA",
"middle_name": "CHAVEZ",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A68973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A689730",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.