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MARISSA MORENO
NPI 1952809477
Rehabilitation Practitioner in Lake Elsinore, CA

Active since January 30, 2018
600 CENTRAL AVE STE 1, LAKE ELSINORE, CA 92530(951) 471-1453 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marissa Moreno NPPES

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

MARISSA MORENO (NPI 1952809477) is an individual rehabilitation practitioner in Lake Elsinore, California and active in the NPI registry since January 2018. She maintains a secondary practice location in Lake Elsinore.

NPPES Registry Identity

NPI1952809477
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameMARISSA MORENO
Location Address600 CENTRAL AVE STE 1Lake Elsinore, CA 92530-2740
Mailing Address2505 E Lakeshore DrLake Elsinore, CA 92530-4446 · (951) 471-1426
Phone(951) 471-1453
Sole ProprietorNo
Enumeration DateJanuary 30, 2018
Last NPPES UpdateSeptember 8, 2025
NPPES CertifiedSeptember 8, 2025
✔ NPI 1952809477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Secondary Practice Location 1

Location 1600 Central Ave Ste 1Lake Elsinore, CA 92530-2740 · Phone (951) 279-3222

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 Marissa Moreno's NPI number?

The NPI number for Marissa Moreno is 1952809477. It was assigned to this individual provider in the NPPES registry on January 30, 2018.

Where is Marissa Moreno located?

Marissa Moreno practices at 600 Central Ave Ste 1, Lake Elsinore, CA 92530. The listed phone number is (951) 471-1453.

What is Marissa Moreno's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Marissa Moreno was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.