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

Mark Moreno

Individual provider Athletic Trainer · NPI 1588100663

Mark Moreno is an Athletic Trainer in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

960 W Hedding St
San Jose, CA 95126-1215
Phone: (408) 537-9289
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (CA)

Record details

NPI number1588100663
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 12, 2017
Last updated in NPPESJanuary 12, 2017
Mailing address960 W Hedding St, San Jose, CA 95126-1215

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