IndividualActive
Marissa Moreno
NPI 1952809477 · Rehabilitation Practitioner · Lake Elsinore, CA
Provider details
- NPI number
- 1952809477
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
600 Central Ave Ste 1
Lake Elsinore, CA 92530-2740
Phone: (951) 471-1453
Street-level locationGet directions
Mailing address
2505 E Lakeshore Dr
Lake Elsinore, CA 92530-4446
Additional practice locations (1)
- 600 Central Ave Ste 1Lake Elsinore, CA 92530-2740Phone: (951) 279-3222
Registry dates
- Enumerated
- 2018-01-30
- Last updated
- 2025-09-08
- Certified
- 2025-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.