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

Mary Jennalyn Q Moreno

Individual provider Family Nurse Practitioner · NPI 1881255560

Mary Jennalyn Q Moreno is a Nurse Practitioner in Alameda, California. Qualified in 2018, 8 years ago. Practices with Piedmont Advanced Care Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019

Practice location Address checks out

2070 Clinton Ave
Alameda, CA 94501-4399
Phone: (510) 814-4397
Fax: (510) 814-4391
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95099039 (CA)

Record details

NPI number1881255560
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2019
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Piedmont Advanced Care Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Alameda