Individual provider · Type 1 NPI

Maricarmen Moreno

Medical Physician Assistant · Santa Cruz, CA

NPI number 1386599330 Active

Practice location

200 7th Ave
Santa Cruz, CA 95062-4668

Call (831) 462-1060 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X26-1543 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1386599330

Maricarmen Moreno's National Provider Identifier is 1386599330, issued on Mar 3, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Santa Cruz, CA. The record was last updated on Mar 3, 2026.