ALFRED MOON (NPI# 1396953105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396953105 |
| Entity Type | Individual |
| Full Name | ALFRED MOON |
| Credential | M.D. |
| Practice Address |
4300 Rose Dr Yorba Linda CA 92886-2026 |
| Mailing Address |
279 Imperial Hwy Suite 730 Fullerton CA 92835-1041 |
| Practice Telephone | 7145284211 |
| Practice Fax Number | 7145796868 |
| Mailing Telephone | 7144494800 |
| Mailing Fax Number | 7144494956 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2013-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | A104707 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MT186653 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
4300 ROSE DR |
| City | YORBA LINDA |
| State | CA |
| Zip Code | 92886-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927720 | Fred Hurst | Family Medicine | 4300 Rose Dr, Yorba Linda, CA 92886-2026 | 2005-07-26 |
| 1578039590 | Steve Do | Physician Assistant | 4300 Rose Dr, Yorba Linda, CA 92886-2026 | 2018-10-17 |
| 1235635129 | Christine Yuri Choi | Nurse Practitioner | 4300 Rose Dr, Yorba Linda, CA 92886 | 2018-04-01 |
| 1740712041 | Sivan Ben-david | Pediatrics | 4300 Rose Dr, Yorba Linda, CA 92886-2026 | 2017-03-28 |
| 1487185096 | Kiana Nouri | Family Medicine | 4300 Rose Dr, Yorba Linda, CA 92886-2026 | 2017-03-24 |
| 1669823837 | Paul Philip Schoerner | Physician Assistant | 4300 Rose Dr, Yorba Linda, CA 92886-2026 | 2016-06-28 |
| 1851718100 | Kimberlee Miller | Nurse Practitioner | 4300 Rose Dr, Yorba Linda, CA 92886 | 2014-03-25 |
| 1942543699 | Christopher David Vercammen-grandjean | Internal Medicine | 4300 Rose Dr, Yorba Linda, CA 92886-2026 | 2013-04-01 |
| 1932405958 | St Jude Hospital Yorba Linda | Internal Medicine | 4300 Rose Dr, Yorba Linda, CA 92886-2026 | 2011-02-09 |
| 1639300528 | Chris Eric Davenport | Family Medicine | 4300 Rose Dr, Yorba Linda, CA 92886-2026 | 2009-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719323 | Mualla Akdeniz | Technician | 5125 Avocado Cir, Yorba Linda, CA 92886 | 2019-09-13 |
| 1790175651 | Robert Harrison Collier | Ophthalmology | 5377 Via Morena, Yorba Linda, CA 92886 | 2015-01-30 |
| 1013306695 | Henry Hoanh Tran | Occupational Therapist | 4711 Avenida De Las Estell, Yorba Linda, CA 92886 | 2015-01-20 |
| 1750770947 | Cecille Suzette Yu | Registered Nurse | 18080 Imperial Highway, Yorba Linda, CA 92886 | 2015-01-12 |
| 1922439256 | Britni Rodriguez | Acupuncturist | 17866 Ranch Dr, Yorba Linda, CA 92886 | 2013-12-12 |
| 1083048755 | Usura Management Corporation | Durable Medical Equipment & Medical Supplies | 20409 Yorba Linda Blvd, Yorba Linda, CA 92886 | 2013-08-29 |
| 1912215955 | Goretti Kantumbare Macharia | Licensed Vocational Nurse | 16742 Meadowview Dr, Yorba Linda, CA 92886 | 2010-09-23 |
| 1548576929 | Nancee Renee Perez | Dietitian, Registered | 18200 Yorba Linda Boulevard, Suite 401, Yorba Linda, CA 92886 | 2010-08-24 |
| 1366764300 | Marcela Fabiola O'con | Registered Nurse | 4795 Logana Plz, Yorba Linda, CA 92886 | 2010-02-18 |
| 1598996126 | R.e. Mayer, D.d.s., P.C. | Dentist | 2901 E. Katella Avenue, Suite A, Orange, CA 92886 | 2009-07-30 |
| Find all providers in zip 92886 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831181569 | Hae Young Aaron Song | Allergy & Immunology | 18340 Yorba Linda Blvd, Suite 101, Yorba Linda, CA 92886-4058 | 2005-08-18 |
| 1447254339 | Donald J. Gjesdal | Allergy & Immunology | 17021 Yorba Linda Blvd, Ste 160, Yorba Linda, CA 92886-3711 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558341 | Los Angeles Food Allergy Institute, Inc. | Allergy & Immunology | 800 S Central Ave Ste 303, Glendale, CA 91204-4388 | 2020-04-29 |
| 1518587815 | Aire Medical of Glendale, Inc. | Allergy & Immunology | 1808 Verdugo Blvd Ste 116, Glendale, CA 91208-1455 | 2020-04-16 |
| 1598315467 | Dean T. Chiang, M.d. Inc | Allergy & Immunology | 3440 Lomita Blvd Ste 228, Torrance, CA 90505-4870 | 2019-09-12 |
| 1316416118 | Pediatric Specialty Partners Inc. | Allergy & Immunology | 8929 University Center Ln Ste 208, San Diego, CA 92122-1054 | 2018-11-21 |
| 1083133649 | Allergy Asthma Clinic Burlingame, Incorporated | Allergy & Immunology | 1828 El Camino Real Ste 703, Burlingame, CA 94010-3122 | 2017-09-14 |
| 1609397421 | Utkucan Acar | Allergy & Immunology | 10833 Le Conte Ave Rm 12-311, Los Angeles, CA 90095-3075 | 2017-06-30 |
| 1992247134 | Macey Dennis | Allergy & Immunology | 549 Southgate Rd, Sacramento, CA 95815-3714 | 2016-11-04 |
| 1093166795 | Terrie Susie Ahn | Allergy & Immunology | 10833 Le Conte Ave # 12-311, Los Angeles, CA 90095-3075 | 2016-06-24 |
| 1700247897 | Marie A. Di Pasquale | Allergy & Immunology | 705 Lincoln Avenue, Palo Alto, CA 94301 | 2016-03-16 |
| 1730559600 | Benjamin Kramer | Allergy & Immunology | 750 Van Ness Ave, Ph1, San Francisco, CA 94102-6321 | 2015-10-04 |
| Find all providers with the same taxonomy | ||||
| City | YORBA LINDA |
| Zip Code | 92886 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.