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ANTONIO DE JESUS MORENO BA
NPI 1215739636
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 26, 2025
200 W ARBOR DR, SAN DIEGO, CA 92103(619) 543-3534(619) 543-7898 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Antonio De Jesus Moreno Ba NPPES

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

ANTONIO DE JESUS MORENO BA (NPI 1215739636) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1215739636
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANTONIO DE JESUS MORENOCredential: BA
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing Address200 W Arbor DrSan Diego, CA 92103-9000 · (619) 543-3534 · Fax (619) 543-7898
Phone(619) 543-3534
Fax(619) 543-7898
Sole ProprietorNo
Enumeration DateMarch 26, 2025
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1215739636 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.
200 W ARBOR DR, San Diego, CA 92103
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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.

DR. RAMIN MOTARJEMI M.D.
Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 249-2500
DR. KYLE PALMER EDMONDS M.D., FAAHPM
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
SHAWN RAVEENTH VEDAMANI MD
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DALE MICHAEL TRUJILLO NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
KAYLEE PETERSEN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
IRENE NEVAREZ NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
WILLIAM JAMES MOSS M.D.
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (508) 395-4189
JAMES HAMILTON JR. PA-C
Physician Assistant (Surgical)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 657-8200

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 Antonio Moreno's NPI number?

The NPI number for Antonio Moreno is 1215739636. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Antonio Moreno located?

Antonio Moreno practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (619) 543-3534.

What is Antonio Moreno's specialty?

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

When was this NPI record last updated?

The NPPES record for Antonio Moreno was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 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.