DAVID ROBERT MOON (NPI# 1073573093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073573093 |
| Entity Type | Individual |
| Full Name | DAVID ROBERT MOON |
| Credential | M.D. |
| Practice Address |
409 Fulton St Palo Alto CA 94301-1326 |
| Mailing Address |
Po Box 1239 Palo Alto CA 94302-1239 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 6508155444 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2017-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
11711 | HI | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
L3024 | TX | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G69394 | CA | Allopathic & Osteopathic Physicians |
| 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 |
| 1215917042 | David D Moon | Family Medicine | 241 N Buffalo Dr, Bldg. 1, Las Vegas, NV 89145-0373 | 2006-01-18 |
| 1912324104 | David Moon | Radiology | 2 W Fern Ave, Redlands, CA 92373-5916 | 2014-03-25 |
| 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 |
409 FULTON ST |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94301-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256430 | Stephen H Smith | Marriage & Family Therapist | 636 Middlefield Road, Palo Alto, CA 94301 | 2020-02-05 |
| 1992367072 | Thomas Mccavitt | Interpreter | Feinberg Medical Clinic, 825 El Camino Real, Palo Alto, CA 94301 | 2019-06-28 |
| 1598321861 | Priyanka Kim Wali, M.d., P.C. | Psychiatry & Neurology | 470 Ramona Street, Palo Alto, CA 94301 | 2019-05-13 |
| 1942716196 | Nancy L Wong | Dermatology | 970 Palo Alto Ave, Palo Alto, CA 94301 | 2017-12-26 |
| 1245751221 | Kurbo Health | Health Educator | 640 Waverley St, Palo Alto, CA 94301 | 2017-06-29 |
| 1023559085 | Michelle Di Montagna | Acupuncturist | 200 California Avenue, Suite 100, Palo Alto, CA 94301 | 2017-03-10 |
| 1265978175 | April Rowe Holman | Psychologist | 667 Lytton Ave. Ste. 5, Palo Alto, CA 94301 | 2017-01-17 |
| 1174975056 | Jeanmarie Barry Cahill | Marriage & Family Therapist | 555 Middle Field Road, Suite 103 B, Palo Alto, CA 94301 | 2016-07-05 |
| 1700247897 | Marie A. Di Pasquale | Allergy & Immunology | 705 Lincoln Avenue, Palo Alto, CA 94301 | 2016-03-16 |
| 1750780128 | Ronces Reyes-pugay | Nurse Practitioner | 795 Elcamino Real, Level 3 Lee Building, Palo Alto, CA 94301 | 2014-08-21 |
| Find all providers in zip 94301 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245673326 | Victoria A Young | Radiology | 725 Welch Rd Rm 1854, Palo Alto, CA 94304-1601 | 2013-04-09 |
| 1548499106 | Matthew Michael Bernbeck | Radiology | 1565 Stanford Ave, Palo Alto, CA 94306-1254 | 2009-07-03 |
| 1558509166 | Kirsten Alexandra Menn | Radiology | 243 Webster St, Palo Alto, CA 94301-1236 | 2009-02-04 |
| 1699954065 | Patrick Lee | Radiology | 470 University Ave, Palo Alto, CA 94301-1812 | 2007-11-01 |
| 1578767992 | Vythao Thi Tran | Radiology | 725 Welch Rd Rm 16814, Lucile Packard Childrens Hospital Dept. of Radiology, Palo Alto, CA 94304-1601 | 2007-06-11 |
| 1699709014 | Cheryl L Futerman | Radiology | 400 Channing Ave, Palo Alto, CA 94301-2801 | 2006-07-10 |
| 1992770770 | Lester H Lee | Radiology | 893 Fielding Dr, Palo Alto, CA 94303-3646 | 2006-02-23 |
| 1568446979 | Ashwini Mysore Zenooz | Radiology | 806 Clara Dr, Palo Alto, CA 94303-3909 | 2005-11-30 |
| 1821610718 | Andrew Cummings | Radiology | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-05-13 |
| 1790266922 | William Ryan Virgen | Radiology | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2018-08-25 |
| Find all providers in PALO ALTO | ||||
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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.