Mayra Abarca Moreno
Individual provider Active NPI Community Health Worker · Carson, CA
NPI 1942028733 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1942028733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 16941 Keegan Ave
Carson, CA 90746-1307 - Phone
- (562) 264-3600
- NPI assigned
- Sep 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
16941 Keegan Ave
Carson, CA 90746-1307
Mailing address
1459 18TH St Ste 206
San Francisco, CA 94107-2801
Other providers in Carson, CA
- 1918 Winter Street Operating Co LLC
- 2ND Ligans Dental Apc
- A1Caredental
- Above the Rest Speech Therapy Inc
- Abraham DDS Dental Corp
- Mina Abraham
- Absolute Care Health Providers Inc
- Roman Emmanuel Acebedo
All providers in Carson, CA · Community Health Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.