DAVID MOON (NPI# 1912324104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912324104 |
| Entity Type | Individual |
| Full Name | DAVID MOON |
| Credential | MD |
| Practice Address |
2 W Fern Ave Redlands CA 92373-5916 |
| Mailing Address |
Po Box 10069 San Bernardino CA 92423-0069 |
| Practice Telephone | 9097933311 |
| Mailing Telephone | 9093354188 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
A140434 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11234 Anderson St, Loma Linda, CA 923542804 | 9095587814 | |
| 75 Francis St, Boston, MA 02115 | 6172073259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538469465 | David Moon | Physician Assistant | 9920 Independence Park Dr Ste 100, Henrico, VA 23233-1487 | 2010-10-26 |
| 1821246802 | David Moon | Contractor | 1619 River Dr, Hammond, IN 46324-3342 | 2008-09-03 |
| 1073573093 | David Robert Moon | Radiology | 409 Fulton St, Palo Alto, CA 94301-1326 | 2006-03-24 |
| 1215917042 | David D Moon | Family Medicine | 241 N Buffalo Dr, Bldg. 1, Las Vegas, NV 89145-0373 | 2006-01-18 |
| 1164866414 | David Sung-wook Moon | Psychiatry & Neurology | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2013-04-17 |
| 1417053133 | David W Moon | Family Medicine | 276 N Ron Mcnair Blvd, Lake City, SC 29560-2462 | 2006-09-16 |
| 1710098009 | David Y Moon | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2006-08-31 |
| 1831116847 | David Andrew Moon | Optometrist | 3902 Creekside Loop, Suite 110, Yakima, WA 98902-4876 | 2006-07-16 |
| 1548213812 | David Myungkee Moon | Radiology | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | 2006-05-18 |
| 1245218627 | David D. Moon | Emergency Medicine | 4567 E. 9th Avenue, Denver, CO 80220-5337 | 2006-01-05 |
| Street Address |
2 W FERN AVE |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-5916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962802 | Sue Allison Field | Anesthesiology | 2 W Fern Ave, Redlands, CA 92373-5916 | 2005-06-14 |
| 1114535044 | Jose Lopez | Nurse Practitioner | 2 W Fern Ave, Redlands, CA 92373-5916 | 2020-07-16 |
| 1275158305 | Carley Marie Anderson | Physician Assistant | 2 W Fern Ave, Redlands, CA 92373-5916 | 2020-06-15 |
| 1194387373 | Timothy Michael Taylor | Nurse Practitioner | 2 W Fern Ave, Redlands, CA 92373-5916 | 2019-07-08 |
| 1083180392 | Janet Cantada | Pharmacist | 2 W Fern Ave, Redlands, CA 92373 | 2018-10-15 |
| 1821579335 | Jacqueline Hae Yun Evans | Physician Assistant | 2 W Fern Ave, Redlands, CA 92373-5916 | 2018-08-22 |
| 1063907152 | Kristen Nicole Chaves | Nurse Practitioner | 2 W Fern Ave, Redlands, CA 92373-5916 | 2018-06-29 |
| 1154823177 | Angela Joan Flores | Pharmacist | 2 W Fern Ave, Redlands, CA 92373 | 2018-03-06 |
| 1619482718 | Agnes Arorong Esteva | Hospitalist | 2 W Fern Ave, Redlands, CA 92373 | 2017-12-12 |
| 1578075867 | Lisa Gilbert | Nurse Practitioner | 2 W Fern Ave, Redlands, CA 92373-5916 | 2017-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285900787 | Simon Long | Radiology | 2 W Fern Ave, Redlands, CA 92373 | 2012-03-29 |
| 1689847881 | Jane L Tran | Radiology | 2 W Fern Ave, Redlands, CA 92373-5916 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1306467204 | Saleh Radiology of Inland Empire | Radiology | 15276 Ledgestone St, Fontana, CA 92336-4048 | 2020-05-01 |
| 1366084535 | Luo Xu | Radiology | 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 | 2019-10-09 |
| 1346717824 | Cvs Medical Group, Inc | Radiology | 201 W Garvey Ave Ste 102-502, Monterey Park, CA 91754-7418 | 2018-11-01 |
| 1407353675 | Art Vascular & Interventional Associates Inc | Radiology | 324 S Beverly Dr Ste 345, Beverly Hills, CA 90212-4801 | 2018-04-12 |
| 1568971869 | Broad Reach Specialty Surgery Inc | Radiology | 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 | 2017-09-29 |
| 1407393754 | Valley Vascular Partners Inc | Radiology | 19231 Victory Blvd Ste 155, Reseda, CA 91335-6329 | 2017-01-25 |
| 1124497342 | Neurointerventional Surgery Consultants, PC | Radiology | 534 S Brea Blvd, Brea, CA 92821-5304 | 2015-09-17 |
| 1578946026 | Clarity Radiology, LLC | Radiology | 39 Via Navarro, Greenbrae, CA 94904-1215 | 2015-07-01 |
| 1669863981 | Pedes Vascular San Fernando Valley | Radiology | 16260 Ventura Boulevard, Suite 210, Encino, CA 91436-2203 | 2015-02-09 |
| 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.