Jose Gonzalo Puente Moreno, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P22 Issued in CA

Practice address

1101 N Cherry St
Tulare, CA 93274-2231

Phone

(559) 686-9097

Fax

(559) 366-7060

NPI assigned

Apr 10, 2023

Last updated

Apr 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Altura Centers for HealthGroup PAC ID 9830103449, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Omnia Healthcare, LLC Home health agency, Clovis, CA, CCN 059683
• Adventist Health Home Care Services Home health agency, Hanford, CA, CCN 057477
• Adventist Health Tulare Hospital, Tulare, CA, CCN 050784
• Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
• Sierra View Medical Center Hospital, Porterville, CA, CCN 050261

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jose.puentemoreno.p1@direct.altura.nextgenshare.com

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

• Altura Centers for Health

  • Federally Qualified Health Center (FQHC)
  • Tulare, CA
  • NPI 1023011632
  Medicare reassignment Care Compare group NPD
• Altura Centers for Health

  • Federally Qualified Health Center (FQHC)
  • Tulare, CA
  • NPI 1629835426
  NPD
• Altura Centers for Health

  • Federally Qualified Health Center (FQHC)
  • Woodville, CA
  • NPI 1932529831
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health Tulare

  dba Tulare Regional Medical Center

  • General Acute Care Hospital
  • Tulare, CA
  • NPI 1801366711
  Care Compare affiliation
• Kaweah Delta Health Care District

  dba Kaweah Health Medical Center

  • General Acute Care Hospital
  • Visalia, CA
  • NPI 1588663769
  Care Compare affiliation
• Omnia Healthcare LLC

  • Home Health Agency
  • Clovis, CA
  • NPI 1154748465
  Care Compare affiliation
• Sierra View Local Health Care District

  dba Sierra View Medical Center

  • General Acute Care Hospital
  • Porterville, CA
  • NPI 1639143381
  Care Compare affiliation
• Western Health Resources

  dba Adventist Health Home Care Services

  • Home Health Agency
  • Hanford, CA
  • NPI 1033397336
  Care Compare affiliation

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1992490544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742233",
            "telephone_number": "559-686-9097",
            "fax_number": "559-366-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742231",
            "telephone_number": "559-686-9097",
            "fax_number": "559-366-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUENTE MORENO",
        "first_name": "JOSE",
        "middle_name": "GONZALO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "P22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precision Rehabilitation & Orthopedic Physical Therapy Inc (Pro-PT)
• Prem K. Kamboj, M.D.P.C.
• Bernadette Rodriguez Price
• Mary Ann Prickett, N.P.
• Procare Medical Center, Inc.
• Selene Guadalupe Puentes Grajeda
• Pulmonary Critical Care and Sleep Disorders of Tulare PC
• Qian Qian, RPH
• Ernestina Quezada, LCSW
• Amanda Dolores Quiroz, PSC-B

• Family Medicine Physician in Tulare, CA
• Providers in Tulare, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.