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

Charlene Robyn Medina Moresco

Individual provider Family Nurse Practitioner · NPI 1356230346

Charlene Robyn Medina Moresco is a Nurse Practitioner in Simi Valley, California. Qualified in 2025, 1 year ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025

Practice location Address checks out

980 Enchanted Way Ste 206
Simi Valley, CA 93065-0913
Phone: (800) 442-1558
Fax: (805) 581-0286
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95035791 (CA)

Record details

NPI number1356230346
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2025
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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