DR. JONG CHUN MOON (NPI# 1760545925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760545925 |
| Entity Type | Individual |
| Full Name | DR. JONG CHUN MOON |
| Credential | M.D. |
| Practice Address |
406 James St Shafter CA 93263-2035 |
| Mailing Address |
406 James St. Shafter CA 93263 |
| Practice Telephone | 6617465788 |
| Practice Fax Number | 6617465273 |
| Mailing Telephone | 6617465788 |
| Mailing Fax Number | 6617465273 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 00A356070 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RHM53818F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598753956 | Jong Yeoung Moon | Internal Medicine | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2005-10-11 |
| Street Address |
406 JAMES ST |
| City | SHAFTER |
| State | CA |
| Zip Code | 93263-2035 |
| 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 |
| 1457578403 | Jong C Moon Md Inc | Clinic/Center | 406 James St, Shafter, CA 93263-2035 | 2007-04-19 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JONG CHUN 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.