ELIZABETH PAULINE MORENO CCMA
NPI 1164368775
Physician Assistant - Medical in Campo, CA

Active since April 27, 2026
1777 BUCKMAN SPRINGS RD, CAMPO, CA 91906(619) 478-5696 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Pauline Moreno Ccma NPPES

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

ELIZABETH PAULINE MORENO CCMA (NPI 1164368775) is an individual medical provider in Campo, California, licensed in California (CMAC-5847) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1164368775
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameELIZABETH PAULINE MORENOCredential: CCMA
Location Address1777 BUCKMAN SPRINGS RDCampo, CA 91906-2022
Mailing Address1777 Buckman Springs RdCampo, CA 91906-2022 · (619) 478-5696
Sole ProprietorNo
Enumeration DateApril 27, 2026
NPPES CertifiedApril 27, 2026
NPI 1164368775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · CMAC-5847
1777 BUCKMAN SPRINGS RD, Campo, CA 91906

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.

Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
Physician Assistant
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
Registered Nurse (Administrator)
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
Substance Abuse Rehabilitation Facility
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906

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 Elizabeth Moreno's NPI number?

The NPI number for Elizabeth Moreno is 1164368775. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Where is Elizabeth Moreno located?

Elizabeth Moreno practices at 1777 Buckman Springs Rd, Campo, CA 91906. The listed phone number is (619) 478-5696.

What is Elizabeth Moreno's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Elizabeth Moreno was last updated on April 27, 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.