JULIAN DIAZ-MORENO MD
NPI 1063207058
Student in an Organized Health Care Education/Training Program in Modesto, CA

Q: What is Julian Diaz-moreno's NPI number?

The NPI number for Julian Diaz-moreno is 1063207058. It was assigned to this individual provider in the NPPES registry on April 11, 2025.

Q: What is Julian Diaz-moreno's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 11, 2025PECOS Enrolled

1700 COFFEE RD, MODESTO, CA 95355(209) 572-7095 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Julian Diaz-moreno Md NPPES

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

JULIAN DIAZ-MORENO MD (NPI 1063207058) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063207058

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJULIAN DIAZ-MORENOCredential: MD

Location Address1700 COFFEE RDModesto, CA 95355-2803

Mailing Address1700 Coffee RdModesto, CA 95355-2803 · (209) 569-7493

Phone(209) 572-7095

Sole ProprietorNo

Enumeration DateApril 11, 2025

NPPES CertifiedApril 11, 2025

✔ NPI 1063207058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1700 COFFEE RD, Modesto, CA 95355

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julian Diaz-moreno Md 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.

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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.

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