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

Elizabeth Pauline Moreno, CCMA

Individual provider Medical Physician Assistant · NPI 1164368775

Elizabeth Pauline Moreno, CCMA is a Medical Physician Assistant in Campo, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

1777 Buckman Springs Rd
Campo, CA 91906-2022
Phone: (619) 478-5696
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence CMAC-5847 (CA)

Record details

NPI number1164368775
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCMA
Sole proprietorNo
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

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