MR. RAYMOND MORENO JR. PA-C
NPI 1407314735
Physician Assistant - Surgical in Federal Way, WA

Q: What is Raymond Moreno's NPI number?

The NPI number for Raymond Moreno is 1407314735. It was assigned to this individual provider in the NPPES registry on March 5, 2019.

Q: What is Raymond Moreno's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Raymond Moreno was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 05, 2019PECOS Enrolled

34509 9TH AVE S STE 204, FEDERAL WAY, WA 98003(253) 835-5510(253) 835-5511 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2021, Nov 25, 2019, Mar 5, 2019 (3 updates tracked since 2019).

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About Mr. Raymond Moreno Jr. Pa-c NPPES

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

MR. RAYMOND MORENO JR. PA-C (NPI 1407314735) is an individual surgical provider in Federal Way, Washington, licensed in Washington (PA60999802) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407314735

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. RAYMOND MORENO JR.Credential: PA-C

Location Address34509 9TH AVE S STE 204Federal Way, WA 98003-8708

Mailing Address34509 9th Ave S Ste 204Federal Way, WA 98003-8708 · (253) 835-5510 · Fax (253) 835-5511

Phone(253) 835-5510

Fax(253) 835-5511

Sole ProprietorNo

Enumeration DateMarch 5, 2019

Last NPPES UpdateSeptember 13, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2021

✔ NPI 1407314735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in WA · PA60999802

34509 9TH AVE S STE 204, Federal Way, WA 98003

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Other Identifiers 1

Medicaid2144135WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Raymond Moreno Jr. Pa-c 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.

Other Providers at the Same Location NPPES 16

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

AIMEE EDMUNDS PAC

Physician Assistant