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

Mauro Moreno, PAC

Individual provider Physician Assistant · NPI 1629142971

Mauro Moreno, PAC is a Physician Assistant in Chico, California. Qualified in 1996, 30 years ago. Practices with Northern Valley Indian Health Inc, a 35-clinician group. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

845 W East Ave
Chico, CA 95926-2002
Phone: (530) 896-9400
Fax: (530) 896-9407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA15433 (CA)

Record details

NPI number1629142971
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address2145 5th Avenue, Oroville, CA 95965

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Northern Valley Indian Health Inc — 35 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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