Donnie Jay Moreno I, is a
Physical Medicine & Rehabilitation - Sports Medicine based in Pasadena, California. Donnie Jay Moreno I is licensed to practice in California (license number 1051707) and his current practice location is
462 Prescott St, Pasadena, California. He can be reached at his office (for appointments etc.) via phone at
(626) 485-2635.
NPI number for Donnie Jay Moreno I is 1093584815 and his current mailing address is 221 Fremont Ave, South Pasadena, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093584815.
Provider's Profile
Full Name | Donnie Jay Moreno I |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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Location | 462 Prescott St, Pasadena, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093584815
- Provider Enumeration Date: 12/20/2023
- Last Update Date: 01/29/2024
Medical Identifiers
Medical identifiers for Donnie Jay Moreno I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093584815 | NPI | - | NPPES |
1051707 | Medicaid | CA | |
8CB9E | Other | CA | BASIC LIFE SUPPORT |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WW0000X | Registered Nurse - Wound Care | 8CB9E (California) | Secondary |
225400000X | Rehabilitation Practitioner | 1051707 (California) | Secondary |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 1051707 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Donnie Jay Moreno I is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Donnie Jay Moreno I, 221 Fremont Ave, South Pasadena, CA 91030 Ph: (626) 485-2635 | Donnie Jay Moreno I, 462 Prescott St, Pasadena, CA 91104-2858 Ph: (626) 485-2635 |
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