Marissa Moreno

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

600 Central Ave Ste 1
Lake Elsinore, CA 92530-2740

Phone

(951) 471-1453

NPI assigned

Jan 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Access Network Non Profit Corporation

  • Community/Behavioral Health Agency
  • Lake Elsinore, CA
  • NPI 1518298702
  NPD

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1952809477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 E LAKESHORE DR",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304446",
            "telephone_number": "951-471-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE STE 1",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925302740",
            "telephone_number": "951-471-1453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Central Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925302740",
            "country_code": "US",
            "telephone_number": "951-279-3222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M Moore-Peters, M.ED
• Joseph Moore
• Jaime Mora
• Miguel Angel Moreno Lopez, MSW, LCSW, NCICS
• Juan Moreno
• Cristina Lymn Morris
• Frank Perry Mosca
• Julie Deann Moser, LAADC-CA
• Precious Jewel Moses, MSN, PMHNP-BC
• Jamie Moss

• Rehabilitation Practitioner in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.