MARGARET MOON


Address: 12901 Venice Blvd, Los Angeles, CA 90066-3509
Phone: 3103903611

MARGARET MOON (NPI# 1770018251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770018251
Entity Type Individual
Full Name MARGARET MOON
Practice Address 12901 Venice Blvd
Los Angeles
CA 90066-3509
Practice Telephone 3103903611
Practice Fax Number 3103904906
Mailing Telephone 3103903611
Mailing Fax Number 3103904906
Enumeration Date 2017-04-21
Last Update Date 2017-04-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers MARGARET MOON

NPI Name Taxonomy Address Enumeration
1649622366 Margaret A. Moon Family Medicine 1100 Washington Ave Ste 115, Carnegie, PA 15106-3615 2016-07-06
1568410231 Margaret Melissa Moon Physical Medicine & Rehabilitation 20130 Route 19 Ste 2300, Cranberry Twp, PA 16066-6213 2006-05-05
1750903530 Margaret Cooper Moon Registered Nurse 200 University Rdg, Greenville, SC 29601-3635 2020-05-14
1710310560 Margaret Moon Counselor 4436 Nw 50th St, Oklahoma City, OK 73112-2212 2013-08-15
1871545525 Margaret Moon Pediatrics 600 N Wolfe St, Baltimore, MD 21287-0005 2006-05-17

Office Location

Street Address 12901 VENICE BLVD
City LOS ANGELES
State CA
Zip Code 90066-3509

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649300898 Westside Center for Independent Living Social Worker 12901 Venice Blvd, Los Angeles, CA 90066-3509 2007-03-06
1285275339 Jay Aquino Case Manager/Care Coordinator 12901 Venice Blvd, Los Angeles, CA 90066-3509 2019-09-30
1093366197 Jose Gonzalez Case Manager/Care Coordinator 12901 Venice Blvd, Los Angeles, CA 90066-3509 2019-09-20
1558912592 Abigail Gabriel Case Manager/Care Coordinator 12901 Venice Blvd, Los Angeles, CA 90066-3509 2019-09-20
1386294452 Maria Del Carmen Rosales Case Manager/Care Coordinator 12901 Venice Blvd, Los Angeles, CA 90066-3509 2019-09-19
1679078869 Judith Davila Case Manager/Care Coordinator 12901 Venice Blvd, Los Angeles, CA 90066-3509 2018-03-28
1902324346 Kenyatta Clark Case Manager/Care Coordinator 12901 Venice Blvd, Los Angeles, CA 90066-3509 2017-09-06
1063930410 Dina Garcia Case Manager/Care Coordinator 12901 Venice Blvd, Los Angeles, CA 90066-3509 2017-09-06
1083132427 Jacqueline Quiroba Case Manager/Care Coordinator 12901 Venice Blvd, Los Angeles, CA 90066-3509 2017-09-06
1679091011 Jose Ulloa Case Manager/Care Coordinator 12901 Venice Blvd, Los Angeles, CA 90066-3509 2017-09-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194330274 Marilyn S Zweifach Psychologist 3606 Barry Avenue, Los Angeles, CA 90066 2020-09-15
1073167458 Rosario Tabares Marriage & Family Therapist 4173 Inglewood Blvd., Los Angeles, CA 90066 2019-07-24
1396200739 Ruzziel Pio Licensed Vocational Nurse 4344 Harding Avenue, Los Angeles, CA 90066 2019-02-08
1164992731 Erfan Nazeri Student in an Organized Health Care Education/Training Program 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 2018-11-27
1972096600 Tricia Kim Ann Walters Licensed Vocational Nurse 1233 S. La Cienega Blvd, Los Angeles, CA 90066 2018-06-07
1174015622 Nicole Hiorns Occupational Therapist 11605 Washington Place, Los Angeles, CA 90066 2018-05-31
1225549934 Gary Sattler Psychoanalyst 3133 Federal Ave., Los Angeles, CA 90066 2017-10-20
1669991568 Nexus Recovery Services, LLC Clinic/Center 11515 Washington Blvd, Culver City, CA 90066 2017-09-12
1336669381 Andrea Michelle Bakke Dentist 3636 Rosewood Ave, Los Angeles, CA 90066 2017-06-21
1659820686 Pegah Ghassemi Bakhtiari Dds Inc Dentist 12756 West Washington Blvd, Los Angeles, CA 90066 2016-10-03
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285242594 Rocio Jimenez Case Manager/Care Coordinator 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 2020-07-22
1245855725 Ashley Ivette Berumen Case Manager/Care Coordinator 1900 W Slauson Ave, Los Angeles, CA 90047-1129 2020-06-10
1356965776 Jennifer Yanovski Case Manager/Care Coordinator 316 W 2nd St Ste 202, Los Angeles, CA 90012-3527 2020-06-01
1841820560 Kiara Imani Thomas Case Manager/Care Coordinator 226 E 103rd St, Los Angeles, CA 90003-4720 2020-01-22
1023648748 Christopher Rivas Case Manager/Care Coordinator 1410 N Kenmore Ave Apt 5, Los Angeles, CA 90027-5826 2020-01-22
1396383782 Candace Laolagi Case Manager/Care Coordinator 246 E 47th St, Los Angeles, CA 90011-3908 2019-12-16
1902448343 Aster Libasu Case Manager/Care Coordinator 2619 Wilshire Blvd Apt 1005, Los Angeles, CA 90057-3461 2019-10-16
1831749456 Jasmine Lynn Martinez Case Manager/Care Coordinator 6768 Lexington Ave, Los Angeles, CA 90038-1234 2019-09-16
1033762547 John Charles Gutierrez Case Manager/Care Coordinator 4265 S Normandie Ave, Los Angeles, CA 90037-2324 2019-07-23
1609429976 Vianey Colon Case Manager/Care Coordinator 11601 S Western Ave # O, Los Angeles, CA 90047-5006 2019-07-16
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Competitor

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City LOS ANGELES
Zip Code 90066

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Dataset Information

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.

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