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Export Provider Record NPI 1104846567
Lucila Karol MoreiraD.O.
Active
NPI Number1104846567
NPI TypeNPI-1 Individual
SpecialtyPediatrics
Provider Details
NPI1104846567
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-07-20
Last Updated2018-04-03
Mailing Address3880 Murphy Canyon Rd Ste 200
San Diego, CA 92123-4411
United States
Phone: (858) 636-4300 | Fax: (858) 636-4319
📍 View Map
Primary Practice Address3605 Vista Way Bldg B
Oceanside, CA 92056-4565
United States
Phone: (760) 547-1010 | Fax: (760) 547-1011
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDFL014026200
Other (non-Medicare)FLOS11047Medical license
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No208000000X – PediatricsNY240504
Yes208000000X – PediatricsFLOS11047
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About NPI 1104846567

Lucila Karol Moreira D.O. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104846567. The primary specialty listed is Pediatrics. The provider is located in Oceanside, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104846567?

NPI 1104846567 belongs to Lucila Karol Moreira D.O., a Pediatrics in Oceanside, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104846567 active?

The current status of NPI 1104846567 in the NPPES registry is Active. The record was last updated on 2018-04-03.

What specialty is NPI 1104846567?

NPI 1104846567 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104846567?

You can verify NPI 1104846567 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104846567?

The primary practice address on file for NPI 1104846567 is 3605 Vista Way Bldg B, Oceanside, CA 92056-4565. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104846567 issued?

NPI 1104846567 was first issued (enumerated) on 2006-07-20. The NPPES record was last updated on 2018-04-03.

Practice Location Map

Lucila Karol Moreira is located at 3605 Vista Way Bldg B, Oceanside, CA. Use the map below to find directions or verify the practice location.

📍 3605 Vista Way Bldg B, Oceanside, CA 92056-4565  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Lucila Karol Moreira. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1104846567. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pediatrics240504NY
PediatricsOS11047FL
Data Verified from CMS NPPES Last synced: 2026-06-26 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162