MARY MORENO M.D.
NPI 1033420252
Family Medicine in Fairfield, CA
About Mary Moreno M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY MORENO M.D. (NPI 1033420252) is an individual family medicine provider in Fairfield, California, licensed in California (A126876) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Martinez, and is a graduate of University Of Southern California Keck School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Moreno M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Mary Moreno reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Greenbrae, CA 94904
- Reassigned Medicare billing, California enrollment
- 82 clinicians in this Medicare group
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- 198 clinicians in this Medicare group
Apple Valley, CA 92307
- Reassigned Medicare billing, California enrollment
- 914 clinicians in this Medicare group
San Bernardino, CA 92404
- Reassigned Medicare billing, California enrollment
- 1,216 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94533 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFIELD, CA 94533
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Moreno's NPI number?
The NPI number for Mary Moreno is 1033420252. It was assigned to this individual provider in the NPPES registry on June 23, 2010.
Where is Mary Moreno located?
Mary Moreno practices at 1200 B Gale Wilson Blvd, Fairfield, CA 94533. The listed phone number is (707) 646-5000.
What is Mary Moreno's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mary Moreno enrolled in Medicare?
Yes. Mary Moreno is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mary Moreno's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Moreno reassigns Medicare benefits to 5 organizations: Permanente Medical Group Inc (Vallejo, CA), Marin Hospitalist Medical Group, Inc. (Greenbrae, CA), Superior Hospitalist Medical Group Inc (Los Angeles, CA), Hospitalist Medicine Physicians Of California, Inc (Apple Valley, CA) and Inpatient Specialists Of California, PC (San Bernardino, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Moreno's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Moreno was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Moreno, M.D. · NPI 1033420252
Family Medicine physician in Fairfield, California. Individual provider, active in the CMS NPPES registry since June 23, 2010.
## Identity
- **NPI:** 1033420252 (Entity type: Individual)
- **Enumerated:** June 23, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A126876 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 B GALE WILSON BLVD, Fairfield, CA 94533-3552
- **Phone:** (707) 646-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA); Marin Hospitalist Medical Group, Inc. (NPI 1023041753, Greenbrae, CA); Superior Hospitalist Medical Group Inc (NPI 1780047712, Los Angeles, CA); Hospitalist Medicine Physicians Of California, Inc (NPI 1184663965, Apple Valley, CA); Inpatient Specialists Of California, PC (NPI 1952792475, San Bernardino, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** December 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1033420252) · Data from the CMS NPPES public registry.