JONG C MOON MD INC (NPI# 1457578403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457578403 |
| Entity Type | Organization |
| Organization Name | JONG C MOON MD INC |
| Other Organization Name | SHAFTER RURAL HEALTH CARE |
| Practice Address |
406 James St Shafter CA 93263-2035 |
| Practice Telephone | 6617465788 |
| Practice Fax Number | 6617465273 |
| Mailing Telephone | 6617465788 |
| Mailing Fax Number | 6617465273 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2012-06-25 |
| Authorized Official Name | DR. JONG CHUN MOON (ADMINISTRATOR) |
| Authorized Official Telephone | 6617465788 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
A356070 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RHM53818F | 05 |
| Other Name | Type Code |
|---|---|
| SHAFTER RURAL HEALTH CARE | Other Name - Individual/Organization |
| Street Address |
406 JAMES ST |
| City | SHAFTER |
| State | CA |
| Zip Code | 93263-2035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760545925 | Jong Chun Moon | General Practice | 406 James St, Shafter, CA 93263-2035 | 2006-12-19 |
| 1932562741 | Vanguard Medical Corporation | Clinic/Center | 406 James St, Shafter, CA 93263-2035 | 2016-03-30 |
| 1689037533 | Reedley Community Hospital | Clinic/Center | 406 James St, Shafter, CA 93263-2035 | 2016-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265958235 | Danessa Thorbrogger | Nurse Practitioner | 565 Kern Street, Shafter, CA 93263 | 2017-08-21 |
| 1376994533 | Shafter Urgent Care | Clinic/Center | 501 Munzer St Ste A, Shafter, CA 93263 | 2016-06-28 |
| 1821442658 | Huy Xuan Dang | Pharmacist | 825 Central Valley Hwy Ste A, Shafter, CA 93263 | 2016-04-18 |
| 1811362908 | Shafter Pediatrics | Pediatrics | 501 Munzer St, Suite C, Shafter, CA 93263 | 2015-12-01 |
| 1174769616 | Parrott Gordon & Associates L.p. | Dentist | 1110 E. Lerdo Highway, 200, Shafter, CA 93263 | 2009-01-06 |
| 1164696449 | Michael Komin Md Medical Corportion | Preferred Provider Organization | 1150 E Lerdo Hwy #c, Shafter, CA 93263 | 2008-04-17 |
| 1154526176 | Christine M Armstrong | Counselor | 151 Munzes St, Shefter, CA 93263 | 2007-06-19 |
| 1336327154 | Omni Family Health | Clinical Medical Laboratory | 659 S Central Valley Hwy, Shafter, CA 93263 | 2008-02-04 |
| 1477677821 | Joel N Cooper Physical Therapist Inc. | Physical Therapist | 142 E Tulare Ave, Shafter, CA 93263-1834 | 2007-03-19 |
| 1023060571 | Ggnsc Shafter Lp | Skilled Nursing Facility | 140 E Tulare Ave, Shafter, CA 93263-1834 | 2006-05-16 |
| Find all providers in zip 93263 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932562741 | Vanguard Medical Corporation | Clinic/Center | 406 James St, Shafter, CA 93263-2035 | 2016-03-30 |
| 1689037533 | Reedley Community Hospital | Clinic/Center | 406 James St, Shafter, CA 93263-2035 | 2016-03-29 |
| 1609281310 | Vanguard Medical Corporation | Clinic/Center | 565 Kern St, Shafter, CA 93263-2133 | 2014-06-23 |
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|---|---|---|---|---|
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| 1477177210 | Anand Narayan Md Inc | Clinic/Center | 317 W El Monte Way, Dinuba, CA 93618-1557 | 2020-06-06 |
| 1902435894 | Slt Medical Group Inc | Clinic/Center | 2024 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6498 | 2020-04-03 |
| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
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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.