1. Home
  2. Directory
  3. California
  4. Fairfield
  5. Family Medicine
  6. NPI Profile

MARY MORENO M.D.
NPI 1033420252
Family Medicine in Fairfield, CA

Active since June 23, 2010PECOS EnrolledAccepts Medicare Assignment
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533(707) 646-5000 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2021, Sep 26, 2018 (2 updates tracked since 2018).

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

NPI1033420252
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY MORENOCredential: M.D.
Location Address1200 B GALE WILSON BLVDFairfield, CA 94533-3552
Mailing Address2642 Harrison StOakland, CA 94612-3814 · (323) 313-2842
Phone(707) 646-5000
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2010
Enumeration DateJune 23, 2010
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
✔ NPI 1033420252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A126876✔ Licensed in NH · RT-2119
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1200 B GALE WILSON BLVD, Fairfield, CA 94533
Open in Google Maps ↗

Secondary Practice Location 1

Location 12500 Alhambra Ave, Contra Costa Regional Medical CenterMartinez, CA 94553-3156 · Phone (925) 370-5110 · Fax (925) 370-5142

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4486882057
PECOS Enrollment IDI20140723001295
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. JOSEPH J DOMINGUEZ M.D.
Anesthesiology
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Solano County (916) 481-6800
DR. JEFFREY J SAADI M.D.
Anesthesiology
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Solano County (916) 481-6800
SETH ABRAHAM KAUFMAN M.D.
Emergency Medicine
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Solano County (707) 429-7830
JULIE ANN HERSK M.D.
Emergency Medicine
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Solano County (707) 429-3600
ANGELINE SABRINA ZARGHAMI RN
Registered Nurse
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Solano County (707) 646-4166
JUDY GEIB GONZALES RN
Registered Nurse
1200 B GALE WILSON BLVD, LINDA PRYOR, CORPORATE COMPLIANCE
FAIRFIELD, CA 94533
Solano County (707) 864-5383
LAURENCE CECILIO NP
Nurse Practitioner (Acute Care)
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Solano County (707) 646-5000
NORTHBAY HEALTH FOUNDATION
Dietitian, Registered
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Solano County (707) 646-5000

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.

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.