JUDY MOON (NPI# 1295029775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295029775 |
| Entity Type | Individual |
| Full Name | JUDY MOON |
| Credential | M.D. |
| Practice Address |
11234 Anderson Street Llumc, House Staff Office Cp 21005 Loma Linda CA 92354 |
| Mailing Address |
533 Parnassus Ave Pediatric Nephrology, Room U585 San Francisco CA 94143-2208 |
| Practice Telephone | 4155175273 |
| Mailing Telephone | 4154762423 |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2018-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
A126422 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
11234 ANDERSON STREET LLUMC, HOUSE STAFF OFFICE CP 21005 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184838773 | Kavita Nayak | Internal Medicine | 11234 Anderson Street, Llumc, House Staff Office Cp 2110, Loma Linda, CA 92354 | 2007-05-10 |
| 1891311247 | Hanyang Hong | Student in an Organized Health Care Education/Training Program | 11234 Anderson Street, Loma Linda University Health-anesthesiology Residency T, Loma Linda, CA 92354-2804 | 2020-06-22 |
| 1528689049 | Victoria Lu | Student in an Organized Health Care Education/Training Program | 11234 Anderson Street, Gme Office Westerly Suite C, Loma Linda, CA 92354-2804 | 2020-05-06 |
| 1851911267 | Won Jin Jeon | Student in an Organized Health Care Education/Training Program | 11234 Anderson Street, Gme Office Westerly Suite 'c', Loma Linda, CA 92354-2804 | 2020-04-26 |
| 1205456654 | Luke Robert Sampson | Student in an Organized Health Care Education/Training Program | 11234 Anderson Street, Gme Office Westerly Suite 'c', Loma Linda, CA 92354-2804 | 2020-04-24 |
| 1376163055 | Margherita Lamaina | Student in an Organized Health Care Education/Training Program | 11234 Anderson Street, Gme Office Westerly Suite 'c', Loma Linda, CA 92354-2804 | 2020-04-22 |
| 1295355501 | Martin R Oberg | Student in an Organized Health Care Education/Training Program | 11234 Anderson Street, Gme Office Suite C, Loma Linda, CA 92354-2804 | 2020-04-17 |
| 1669091385 | Clinton Riddell | Student in an Organized Health Care Education/Training Program | 11234 Anderson Street, Loma Linda University Health - Anesthesiology, Loma Linda, CA 92354-2804 | 2020-04-13 |
| 1750900619 | Soungmin Cho | Student in an Organized Health Care Education/Training Program | 11234 Anderson Street, Loma Linda, CA 92354-2804 | 2020-04-10 |
| 1053940635 | Joshua Stuart Maclaughlan | Student in an Organized Health Care Education/Training Program | 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003996448 | Rita Sheth | Pediatrics | 11175 Campus St, Loma Linda, CA 92350-1700 | 2006-10-17 |
| 1538189337 | Shobha Sahney | Pediatrics | 11370 Anderson St, Ste B-100, Loma Linda, CA 92354-3450 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730653080 | Nihar Bhakta | Pediatrics | 3430 Sitio Sandia, Carlsbad, CA 92009-8483 | 2019-01-18 |
| 1821304403 | Pediatric Kidney Center Inc | Pediatrics | 5309 Aurora Way, Bakersfield, CA 93306-7808 | 2010-08-20 |
| 1659504959 | Nianzhou Xiao | Pediatrics | 9300 Valley Childrens Pl Dept Of, Madera, CA 93636-8761 | 2009-09-02 |
| 1104066877 | Lyndon & Belinda Senar Mds Inc | Pediatrics | 9840 Brimhall Rd, Bakersfield, CA 93312-2791 | 2009-02-20 |
| 1306052667 | James En-cheh Tong | Pediatrics | 533 Parnassus Ave # U-585, San Francisco, CA 94143-2208 | 2007-05-15 |
| 1487874954 | Elizabeth Michelle Talley | Pediatrics | 300 Pasteur Dr Rm G306, Stanford, CA 94305-2200 | 2007-04-26 |
| 1831266048 | Paul Scott Kurtin | Pediatrics | 1157 Solana Dr, Del Mar, CA 92014-3907 | 2006-11-30 |
| 1780773721 | Hma Mahdavi | Pediatrics | 1760 Termino Ave Ste 214, Long Beach, CA 90804-2169 | 2006-10-11 |
| 1801982301 | Gary Robert Lerner | Pediatrics | 4650sunset Blvd, Los Angeles, CA 90027-6062 | 2006-10-04 |
| 1841214376 | Cynthia Wong | Pediatrics | 300 Pasteur Drive, G306, Stanford, CA 94305-5208 | 2006-07-27 |
| Find all providers with the same taxonomy | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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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.