Isis Samanta Macias Moreno, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720604853

Isis Samanta Macias Moreno, MD is a Family Practice in Shafter, California. Qualified in 2014, 12 years ago. Practices with Omni Family Health, a 93-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying: 12
Licensed in: CA
In the registry since: 2020
Specialties on file: 2

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Shafter, CA

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

6700 Niles St, Bakersfield, CA 93306-4800 — (866) 707-6664
4131 Ming Ave, Bakersfield, CA 93309-4994 — (866) 707-6664

Specialties & licences

Family Medicine Physician (primary)	Taxonomy 207Q00000X · Licence A185048 (CA)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1720604853
Entity type	Individual (Type 1)
Gender	Female
Credentials	MD
Sole proprietor	No
NPI enumerated	June 24, 2020
Last updated in NPPES	August 2, 2023
Certification date	July 31, 2023

Medicare enrollment

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

Medicare specialty	FAMILY PRACTICE
Medical school	OTHER
Graduated	2014 (12 years in practice)
Group practice	Omni Family Health — 93 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	3 on file with Medicare