GABRIEL MOON (NPI# 1659431435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659431435 |
| Entity Type | Individual |
| Full Name | GABRIEL MOON |
| Practice Address |
1455 N Waterman Ave Ste 119 San Bernardino CA 92404 |
| Practice Telephone | 9098898967 |
| Practice Fax Number | 9098898967 |
| Mailing Telephone | 9098898967 |
| Mailing Fax Number | 9098898967 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC7117 | CA | Other Service Providers |
| N | 171100000X | Acupuncturist | 003150 | NY | Other Service Providers |
| N | 171100000X | Acupuncturist | 000149 | CT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ASHP | 22936 | 01 | |
| LANDMARK | AC7117 | 01 |
| Street Address |
1455 N WATERMAN AVE STE 119 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245753458 | Harnitchek Chiropractic Professional Corporation | Acupuncturist | 1535 S D St Ste 108, San Bernardino, CA 92408-3232 | 2017-07-19 |
| 1659775765 | Chaelin Kim | Acupuncturist | 1440 Willow Tree Ln, San Bernardino, CA 92408-3657 | 2014-10-17 |
| 1588095400 | Yu-ling Chu | Acupuncturist | 416 N H St Ste 1, San Bernardino, CA 92410-3258 | 2013-12-02 |
| 1699047407 | Yong Hoon Park | Acupuncturist | 1911 Commercenter East, Suite 107, San Bernardino, CA 92408 | 2012-02-09 |
| 1922320514 | Xiao-ping Xu | Acupuncturist | 2627 S Waterman Ave Ste B, San Bernardino, CA 92408-3738 | 2010-02-23 |
| 1245400621 | Luping Wang | Acupuncturist | 1558 N Waterman Ave, Suite A, San Bernardino, CA 92404-5133 | 2008-03-03 |
| 1659572360 | Sandra Ann Miller | Acupuncturist | 155 W Hospitality Ln, Suite 105, San Bernardino, CA 92408-3305 | 2007-05-30 |
| 1215155759 | Jiyeon Kim | Acupuncturist | 2160 S Waterman Ave Ste D, San Bernardino, CA 92408-3746 | 2007-04-22 |
| 1023233061 | Meng Liu | Acupuncturist | 399 E Highland Ave Ste 502, San Bernardino, CA 92404-3872 | 2007-04-16 |
| 1508980079 | Hae Suk Yi | Acupuncturist | 738 S Waterman Ave Ste A23, San Bernardino, CA 92408-2362 | 2007-03-19 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
Please comment or provide details below to improve the information on GABRIEL MOON.
| 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.