DR. JORGE LUIS MORENO D.O.
NPI 1306118393
General Practice in Montebello, CA

Q: What is Jorge Moreno's NPI number?

The NPI number for Jorge Moreno is 1306118393. It was assigned to this individual provider in the NPPES registry on February 6, 2012.

Q: What is Jorge Moreno's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: Is Jorge Moreno enrolled in Medicare?

No. Jorge Moreno has opted out of Medicare through January 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jorge Moreno was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since February 06, 2012Opted out of Medicare · through Jan 21, 2027

420 N MONTEBELLO BLVD, SUITE 300, MONTEBELLO, CA 90640(323) 726-6289(323) 726-6767 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jorge Luis Moreno D.o. NPPES

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

DR. JORGE LUIS MORENO D.O. (NPI 1306118393) is an individual general practice provider in Montebello, California, licensed in California (20A6911) and active in the NPI registry since February 2012. He has opted out of Medicare through January 21, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306118393

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. JORGE LUIS MORENOCredential: D.O.

Location Address420 N MONTEBELLO BLVD, SUITE 300Montebello, CA 90640-4268

Mailing Address420 N Montebello Blvd, Suite 300Montebello, CA 90640-4268 · (323) 726-6289 · Fax (323) 726-6767

Phone(323) 726-6289

Fax(323) 726-6767

Sole ProprietorYes

Enumeration DateFebruary 6, 2012

Last NPPES UpdateJuly 18, 2019

✔ NPI 1306118393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · 20A6911

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedNutritionistTaxonomy 133N00000X · License 20A6911 (CA)

Also ListedMechanotherapistTaxonomy 172M00000X · License 20A6911 (CA)

Also ListedHomeopathTaxonomy 175L00000X · License 20A6911 (CA)

Also ListedElectrodiagnostic MedicineTaxonomy 204R00000X · License 20A6911 (CA)

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 20A6911 (CA)

Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License 20A6911 (CA)

Also ListedFamily Medicine · Sleep MedicineTaxonomy 207QS1201X · License 20A6911 (CA)

Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X · License 20A6911 (CA)

420 N MONTEBELLO BLVD, Montebello, CA 90640

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jorge Luis Moreno D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 21, 2019 through January 21, 2027.

Opt-Out Effective DateJanuary 21, 2019

Opt-Out In Effect ThroughJanuary 21, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

J. EDUARDO GUZMAN,MD,. INC.

Clinic/Center (Adult Mental Health)

420 N MONTEBELLO BLVD, SUITE 204
MONTEBELLO, CA 90640

Los Angeles County (323) 722-1357

CENTER FOR WELLNESS

General Practice

420 N MONTEBELLO BLVD, 300
MONTEBELLO, CA 90640

Los Angeles County (323) 726-6289

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 Jorge Moreno's NPI number?

The NPI number for Jorge Moreno is 1306118393. It was assigned to this individual provider in the NPPES registry on February 6, 2012.

Where is Jorge Moreno located?

Jorge Moreno practices at 420 N Montebello Blvd Suite 300, Montebello, CA 90640. The listed phone number is (323) 726-6289.

What is Jorge Moreno's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jorge Moreno enrolled in Medicare?

No. Jorge Moreno has opted out of Medicare through January 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jorge Moreno was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.