Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antonio Moreno

Individual provider Certified Registered Nurse Anesthetist · NPI 1154984706

Antonio Moreno is a Certified Registered Nurse Anesthetist (CRNA) in San Bernardino, California. Qualified in 2018, 8 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone: (909) 883-8711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 44139 Monterey Ave Ste B, Palm Desert, CA 92260-8700 — (760) 773-4411

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95001104 (CA)

Record details

NPI number1154984706
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 18, 2019
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in San Bernardino