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

Donnie Jay Moreno I

Individual provider Wound Care Registered Nurse · NPI 1093584815

Donnie Jay Moreno I is a Wound Care Registered Nurse in Pasadena, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
3

Practice location Address checks out

462 Prescott St
Pasadena, CA 91104-2858
Phone: (626) 485-2635
Show map & directions

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

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 1051707 (CA)
Wound Care Registered Nurse Taxonomy 163WW0000X · Licence 8CB9E (CA)
Rehabilitation Practitioner Taxonomy 225400000X · Licence 1051707 (CA)

Record details

NPI number1093584815
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 20, 2023
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024