EDGAR MORENO PA-C NPI 1003381583

NPI Information

NPI: 1003381583
Provider Name: EDGAR MORENO, PA-C
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

Organization: CENTRIC HEALTH

PECOS Registration: Yes

Address:
6001 TRUXTUN AVE
BAKERSFIELD, CA
ZIP 93309
Phone: (661) 323-8477
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Edgar Moreno, PA-C is an adult medicine family medicine in Bakersfield, CA with 5 years of experience. The provider is definition to come. Edgar Moreno, PA-C NPI is 1003381583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6001 TRUXTUN AVE
BAKERSFIELD, CA
ZIP 93309-679
Phone: (661) 323-8477

The NPI 1003381583 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/10/2018 and was last updated on 10/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	207QA0505X	Family Medicine	Adult Medicine	57434	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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