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DR. GUILLERMO MORENO JR.
NPI 1124587159
Obstetrics & Gynecology - Maternal & Fetal Medicine in Fresno, CA

Active since March 19, 2019PECOS Enrolled
2210 E ILLINOIS AVE STE 301, FRESNO, CA 93701(559) 320-0555(559) 320-0558 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 3, 2026, Mar 19, 2019 (2 updates tracked since 2019).

About Dr. Guillermo Moreno Jr. NPPES

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

DR. GUILLERMO MORENO JR. (NPI 1124587159) is an individual maternal & fetal medicine provider in Fresno, California, licensed in California (A182003) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124587159
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameDR. GUILLERMO MORENO JR.
Location Address2210 E ILLINOIS AVE STE 301Fresno, CA 93701-2184
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Phone(559) 320-0555
Fax(559) 320-0558
Sole ProprietorNo
Enumeration DateMarch 19, 2019
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1124587159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses✔ Licensed in CA · A182003✔ Licensed in OH · 35.147718
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
2210 E ILLINOIS AVE STE 301, Fresno, CA 93701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Guillermo Moreno Jr. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Guillermo Moreno reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central California Faculty Medical Group, Inc.
0.1 mi
Emergency Medicine
2823 FRESNO ST
Fresno, CA 93721
  • Reassigned Medicare billing, California enrollment
  • 295 clinicians in this Medicare group
NPI 1457603573 (559) 443-2682
University Hospitals Medical Group Inc
2,061 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000

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 93701 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EMILIA BASILIO MD, MPH
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2210 E ILLINOIS AVE STE 301
FRESNO, CA 93701
Fresno County (559) 320-0555
FATIMAH ZAINAB FAHIMUDDIN MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2210 E ILLINOIS AVE STE 301
FRESNO, CA 93701
Fresno County (559) 320-0555
BRIAN L MORGAN M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2210 E ILLINOIS AVE STE 301
FRESNO, CA 93701
Fresno County (559) 320-0555

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 Guillermo Moreno's NPI number?

The NPI number for Guillermo Moreno is 1124587159. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Guillermo Moreno located?

Guillermo Moreno practices at 2210 E Illinois Ave Ste 301, Fresno, CA 93701. The listed phone number is (559) 320-0555.

What is Guillermo Moreno's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Guillermo Moreno enrolled in Medicare?

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

Which organizations bill Medicare for Guillermo Moreno's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guillermo Moreno reassigns Medicare benefits to 2 organizations: Central California Faculty Medical Group, Inc. (Fresno, CA) and University Hospitals Medical Group Inc (Cleveland, OH). 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 Guillermo Moreno's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Guillermo Moreno accept?

Health plans from Antidote Health Plan of Ohio, Inc. list Guillermo Moreno as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Guillermo Moreno was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.