Active NPI
Maritza G Moreno
- Licensed Vocational Nurse
- Aliso Viejo, CA
National Provider Identifier
1952751265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 248212
- Practice address
- 24162 Hollyoak Apt B
Aliso Viejo, CA 92656-2999 - Phone
- (707) 332-6116
- NPI assigned
- Jun 16, 2016
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 248212 | CA | Primary |
Addresses
Primary practice location
24162 Hollyoak Apt B
Aliso Viejo, CA 92656-2999
Mailing address
24162 Hollyoak Apt B
Aliso Viejo, CA 92656-2999
Phone (707) 332-6116
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 |
|---|---|---|---|
| 248212 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466035200000",
"number": "1952751265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24162 HOLLYOAK APT B",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926562999",
"telephone_number": "707-332-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24162 HOLLYOAK APT B",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926562999",
"telephone_number": "707-332-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "MARITZA",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-16",
"last_updated": "2016-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "248212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aliso Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.