GREGORY DAVID MOON


Address: 1843 Channing Ave, Palo Alto, CA 94303-3014
Phone: 6503846543

GREGORY DAVID MOON (NPI# 1376058818) 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) 1376058818
Entity Type Individual
Full Name GREGORY DAVID MOON
Practice Address 1843 Channing Ave
Palo Alto
CA 94303-3014
Practice Telephone 6503846543
Mailing Telephone 6503846543
Enumeration Date 2017-12-06
Last Update Date 2017-12-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine A063600 CA Allopathic & Osteopathic Physicians

Other Providers GREGORY MOON

NPI Name Taxonomy Address Enumeration
1871859603 Gregory A Moon Counselor 19701 W Catawba Ave, Suite F, Cornelius, NC 28031-4080 2012-04-05
1881968600 Gregory Lynn Moon Registered Nurse 7307 Ne 69th St, Vancouver, WA 98662-4398 2012-02-24

Office Location

Street Address 1843 CHANNING AVE
City PALO ALTO
State CA
Zip Code 94303-3014

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1932652013 Tala Sailele Counselor 2560 Pulgas Ave., East Palo Alto, CA 94303 2016-07-26
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1083041636 Malaika House Substance Abuse Rehabilitation Facility 819 & 823 Jamie Lane, East Palo Alto, CA 94303 2013-09-27
1184913246 Naeem Hashmi Medical Corporation Internal Medicine 957 Colonial Lane, Palo Alto, CA 94303 2011-03-29
1346550902 Elizabeth A. Herb, M.d., A Professional Corporation Clinic/Center 851 Southampton Dr., Palo Alto, CA 94303 2010-10-18
1083878367 Achievekids Health Maintenance Organization 3860 Middlefield Road, Achievekids, Palo Alto, CA 94303 2008-07-15
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962040089 Dr. Taraneh Razavi, A Professional Corporation Internal Medicine 211 Quarry Rd Ste 203, Palo Alto, CA 94304-1416 2019-12-19
1437684909 Nadeem Elias Abou-arraj Internal Medicine 500 Pasteur Dr, Palo Alto, CA 94304-1048 2017-04-21
1700264330 Varun Bipinchandra Shah Internal Medicine 300 Pasteur Dr # 5778, Palo Alto, CA 94305-2200 2015-05-14
1386030559 Robert Kocher Internal Medicine 1870 Emerson St, Palo Alto, CA 94301-3717 2015-04-14
1669866620 Matthew Stevenson Internal Medicine 3801 Miranda Avenue, Building 5, C365, Palo Alto, CA 94304 2015-03-26
1942624192 Richard David Mamelok Internal Medicine 364 Churchill Ave, Palo Alto, CA 94301-3601 2014-02-08
1942649157 Can Chen Internal Medicine 211 Quarry Rd # 402, Palo Alto, CA 94304 2013-06-20
1962848960 Amy Chang Internal Medicine 300 Pasteur Dr Bldg 134, Palo Alto, CA 94304-2203 2013-05-16
1386900959 Paul Marcus Internal Medicine 3801 Miranda Ave # Mc111, Palo Alto, CA 94304-1207 2012-04-07
1144596842 Henry T Lew Internal Medicine 4205 Ponce Dr, Palo Alto, CA 94306-4633 2012-03-27
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Competitor

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City PALO ALTO
Zip Code 94303

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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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