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

Individual provider Neurology Physician · NPI 1376886457

Dr. Gabriel Mario Moreno, MD is a Neurology in Stockton, California. Graduated from Wayne State University School of Medicine in 2013, 13 years ago. Practices with Osceola Surgical Associates LLC, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
Wayne State University School of Medicine
Licensed in
CA
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1805 N California St Ste 200
Stockton, CA 95204-6032
Phone: (096) 454-0052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 36475 Five Mile Rd, Livonia, MI 48154-1971 — (734) 655-2727

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 135971 (CA)

Record details

NPI number1376886457
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 27, 2013
Last updated in NPPESJuly 10, 2020
Certification dateJuly 10, 2020

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Osceola Surgical Associates Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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