OrganizationActive
Fred Jefferson Moreno
NPI 1962954024 · Case Management Agency · Gardena, CA
Fred Jefferson Moreno is a Case Management Agency organization in Gardena, CA (NPI 1962954024).
Provider details
- NPI number
- 1962954024
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Darryl Sewell, Cto/Program Director(310) 929-0738
Specialties & taxonomies
Agencies
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
152 W Walnut St
Suite 150
Gardena, CA 90248-3141
Phone: (310) 763-1660
Street-level locationGet directions
Mailing address
12981 Perris Blvd
Moreno Valley, CA 92553-4102
Other names (DBA / former)
- Doing business as
- Fred Jefferson M Aftercare
Registry dates
- Enumerated
- 2016-10-25
- Last updated
- 2016-10-25
Frequently asked questions
- What is Fred Jefferson Moreno's NPI number?
- Fred Jefferson Moreno's National Provider Identifier (NPI) is 1962954024, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fred Jefferson Moreno?
- Fred Jefferson Moreno is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Fred Jefferson Moreno located?
- Fred Jefferson Moreno's practice location on file with NPPES is 152 W Walnut St, Gardena, CA 90248-3141.
- What is Fred Jefferson Moreno's phone number?
- The practice phone number listed in the NPPES registry for Fred Jefferson Moreno is (310) 763-1660.
- Who is the authorized official for Fred Jefferson Moreno?
- The authorized official listed on Fred Jefferson Moreno's NPPES record is Darryl Sewell, Cto/Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fred Jefferson Moreno's NPI active?
- Yes — Fred Jefferson Moreno's NPI (1962954024) is active in the NPPES registry as of the last update on 2016-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.