Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SAMUEL CARVAJAL MORENO JR.
NPI 1639749922
Student in an Organized Health Care Education/Training Program in El Cajon, CA

Active since June 29, 2021
700 N JOHNSON AVE STE P, EL CAJON, CA 92020(619) 441-1907 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 16, 2026, Jun 29, 2021 (2 updates tracked since 2021).

About Samuel Carvajal Moreno Jr. NPPES

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

SAMUEL CARVAJAL MORENO JR. (NPI 1639749922) is an individual student in an organized health care education/training program in El Cajon, California and active in the NPI registry since June 2021. He maintains a secondary practice location in Chula Vista.

NPPES Registry Identity

NPI1639749922
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL CARVAJAL MORENO JR.
Location Address700 N JOHNSON AVE STE PEl Cajon, CA 92020-2589
Mailing Address700 N Johnson Ave Ste PEl Cajon, CA 92020-2589 · (619) 441-1907
Sole ProprietorNo
Enumeration DateJune 29, 2021
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
NPI 1639749922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedBehavior TechnicianTaxonomy 106S00000X
700 N JOHNSON AVE STE P, El Cajon, CA 92020

Secondary Practice Location 1

Location 1310 3rd Ave Ste B8Chula Vista, CA 91910-3990 · Phone (855) 223-7123 · Fax (619) 374-7134

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.

Rehabilitation Practitioner
700 N JOHNSON AVE STE P
EL CAJON, CA 92020
Marriage & Family Therapist
700 N JOHNSON AVE STE P
EL CAJON, CA 92020
Counselor (Professional)
700 N JOHNSON AVE STE P
EL CAJON, CA 92020
Counselor (Professional)
700 N JOHNSON AVE STE P
EL CAJON, CA 92020
Rehabilitation Practitioner
700 N JOHNSON AVE STE P
EL CAJON, CA 92020
Case Manager/Care Coordinator
700 N JOHNSON AVE STE P
EL CAJON, CA 92020
Case Manager/Care Coordinator
700 N JOHNSON AVE STE P
EL CAJON, CA 92020
Marriage & Family Therapist
700 N JOHNSON AVE STE P
EL CAJON, CA 92020

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 Samuel Carvajal Moreno's NPI number?

The NPI number for Samuel Carvajal Moreno is 1639749922. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Samuel Carvajal Moreno located?

Samuel Carvajal Moreno practices at 700 N Johnson Ave Ste P, El Cajon, CA 92020. The listed phone number is (619) 441-1907.

What is Samuel Carvajal 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 Samuel Carvajal Moreno was last updated on July 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.