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

Michael Moreno, PA-C

Individual provider Physician Assistant · NPI 1912614298

Michael Moreno, PA-C is a Physician Assistant in Santa Ana, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1206 E 17th St Ste 101
Santa Ana, CA 92701-2641
Phone: (714) 352-2911
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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 PA62509 (CA)

Record details

NPI number1912614298
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 4, 2022
Last updated in NPPESMarch 21, 2023
Certification dateMarch 21, 2023

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