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CHARLES ANTHONY MORENO
NPI 1912473810
Counselor - Mental Health in Chula Vista, CA

Active since October 17, 2018PECOS Enrolled
264 LANDIS AVE STE 200, CHULA VISTA, CA 91910(855) 223-7123 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 11, 2023, Oct 17, 2018 (2 updates tracked since 2018).

About Charles Anthony Moreno NPPES

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

CHARLES ANTHONY MORENO (NPI 1912473810) is an individual mental health provider in Chula Vista, California, licensed in California (14428) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912473810
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHARLES ANTHONY MORENO
Location Address264 LANDIS AVE STE 200Chula Vista, CA 91910-2651
Mailing Address16782 Von Karman Ave Ste 11Irvine, CA 92606-2417 · (855) 223-7123
Phone(855) 223-7123
Sole ProprietorNo
Enumeration DateOctober 17, 2018
Last NPPES UpdateAugust 11, 20232 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
✔ NPI 1912473810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 14428
264 LANDIS AVE STE 200, Chula Vista, CA 91910
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Anthony Moreno 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 20

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

MICHAEL LOZANO B.S.
Behavior Technician
264 LANDIS AVE STE 200
CHULA VISTA, CA 91910
San Diego County (619) 997-6851
CHRISTINE ANNE DOZIER
Behavior Technician
264 LANDIS AVE STE 200
CHULA VISTA, CA 91910
San Diego County (619) 997-6851
JASMYNE CHASE
Behavior Technician
264 LANDIS AVE STE 200
CHULA VISTA, CA 91910
San Diego County (855) 223-7123
CARI MATA
Behavior Technician
264 LANDIS AVE STE 200
CHULA VISTA, CA 91910
San Diego County (619) 977-6851
ILSE ARELY CORTES
Behavior Technician
264 LANDIS AVE STE 200
CHULA VISTA, CA 91910
San Diego County (619) 977-6851
KAYLA REBEKAH MATTHES
Behavior Technician
264 LANDIS AVE STE 200
CHULA VISTA, CA 91910
San Diego County (619) 977-6851
CHYENNE MARIE LONG
Behavior Technician
264 LANDIS AVE STE 200
CHULA VISTA, CA 91910
San Diego County (855) 223-7123
KATTERYN JOSELYN HERNANDEZ
Behavior Technician
264 LANDIS AVE STE 200
CHULA VISTA, CA 91910
San Diego County (619) 997-6851

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 Charles Moreno's NPI number?

The NPI number for Charles Moreno is 1912473810. It was assigned to this individual provider in the NPPES registry on October 17, 2018.

Where is Charles Moreno located?

Charles Moreno practices at 264 Landis Ave Ste 200, Chula Vista, CA 91910. The listed phone number is (855) 223-7123.

What is Charles Moreno's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Charles Moreno enrolled in Medicare?

Yes. Charles Moreno is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Moreno was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.