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

Individual provider Vascular & Interventional Radiology Physician · NPI 1679716278

Dr. Ismael Perez Moreno, MD is an Interventional Radiology in Sacramento, California. Graduated from University of California, Geffen School of Medicine in 2004, 22 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Delaware, Missouri and Pennsylvania.

Years since qualifying
22
Trained at
University of California, Geffen School of Medicine
Licensed in
CA, DE, MO, PA
In the registry since
2009
Specialties on file
4
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

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone: (916) 887-1140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3635 Vista At Grand, St. Louis, MO 63110 — (314) 268-5782

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence A117180 (CA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 2013030321 (MO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MT 184060 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence C7-0004180 (DE)

Record details

NPI number1679716278
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2009
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

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