1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Family Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

QUETZAL MORENO DO
NPI 1043825276
Family Medicine in Santa Rosa, CA

Active since September 14, 2020PECOS Enrolled
3569 ROUND BARN CIR STE 200, SANTA ROSA, CA 95403(707) 583-8800 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Mar 26, 2025, Sep 14, 2020 (3 updates tracked since 2020).

About Quetzal Moreno Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUETZAL MORENO DO (NPI 1043825276) is an individual family medicine provider in Santa Rosa, California, licensed in California (PTL4251) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043825276
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameQUETZAL MORENOCredential: DO
Location Address3569 ROUND BARN CIR STE 200Santa Rosa, CA 95403-5784
Mailing Address3569 Round Barn Cir Ste 200Santa Rosa, CA 95403-5784 · (707) 583-8800
Phone(707) 583-8800
Sole ProprietorNo
Enumeration DateSeptember 14, 2020
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1043825276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · PTL4251
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3569 ROUND BARN CIR STE 200, Santa Rosa, CA 95403
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quetzal Moreno Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 95403 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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. KENDALL MADDEN M.D.
Student in an Organized Health Care Education/Training Program
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
KATHLEEN MARIE BEARDSWORTH MD
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
BIANKA J AGUILAR MD
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8806
NAVPREET SIDHU
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
GENEVRA MAGLIOCCO MD
Student in an Organized Health Care Education/Training Program
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
YADIRA RAYA-CERVANTES MD
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
DR. LILY DEVRIES MORRISON MD, MPH
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
NICOLE GOLDBERG-BOLTZ MD
Student in an Organized Health Care Education/Training Program
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800

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 Quetzal Moreno's NPI number?

The NPI number for Quetzal Moreno is 1043825276. It was assigned to this individual provider in the NPPES registry on September 14, 2020.

Where is Quetzal Moreno located?

Quetzal Moreno practices at 3569 Round Barn Cir Ste 200, Santa Rosa, CA 95403. The listed phone number is (707) 583-8800.

What is Quetzal Moreno's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Quetzal Moreno enrolled in Medicare?

Yes. Quetzal Moreno is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Quetzal Moreno was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.