DR. MICHAEL MOON (NPI# 1619014230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619014230 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL MOON |
| Credential | M.D. |
| Practice Address |
5348 Carroll Canyon Rd Suite 101 San Diego CA 92121-1733 |
| Practice Telephone | 8582021546 |
| Practice Fax Number | 8582021548 |
| Mailing Telephone | 8582021546 |
| Mailing Fax Number | 8582021548 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2012-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
A61865 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE NUMBER | A61865 | 01 |
| CA | BLUE SHIELD | ZZZ07215Z | 01 |
| CA | BLUE CROSS | 330992123 | 01 |
| CA | RAIL ROAD MEDICARE | P00302519 | 01 |
| CA | GR0096070 | 05 | |
| CA | ACS-US DEPT OF LABOR | 127169100 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851761431 | Michael Moon | Dentist | 1100 S Jackson Rd Ste 2&3, Mcallen, TX 78503-1635 | 2015-09-25 |
| 1972651941 | Michael S. Moon | Internal Medicine | 94 Great Lawn, Irvine, CA 92620-3423 | 2007-01-08 |
| 1629189360 | Michael C Moon | Dentist | 1762 Washington Rd, Washington, IL 61571-2278 | 2006-08-31 |
| 1437173499 | Michael Joe Moon | Dentist | 2511 Bagby St, Houston, TX 77006-1605 | 2006-07-26 |
| 1942768791 | Michael Moon | Counselor | 815 Grandview Rd, Oil City, PA 16301-2077 | 2019-03-11 |
| 1144737487 | Michael Moon | Case Manager/Care Coordinator | 150 Cross St, Akron, OH 44311-1026 | 2018-01-09 |
| 1366488157 | Michael Moon | Pathology | 1101 W University Drive, Rochester, MI 48307-1831 | 2006-06-21 |
| Street Address |
5348 CARROLL CANYON RD SUITE 101 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629023387 | Michael Moon Md A Medical | Physical Medicine & Rehabilitation | 5348 Carroll Canyon Rd, Suite 101, San Diego, CA 92121-1733 | 2006-05-23 |
| 1497160337 | Center for Integrative Wellness: A Cbt Psychological Corporation | Psychologist | 5348 Carroll Canyon Rd, Suite 101, San Diego, CA 92121-1733 | 2014-06-30 |
| 1972844140 | Function Fit Rehab | Health Educator | 5348 Carroll Canyon Rd, Suite 101, San Diego, CA 92121-1733 | 2013-03-12 |
| 1154559730 | Sabina Sehgal | Psychologist | 5348 Carroll Canyon Rd, Suite 101, San Diego, CA 92121-1733 | 2009-06-23 |
| 1619157658 | David C Majors | Physical Medicine & Rehabilitation | 5348 Carroll Canyon Rd, Suite 101, San Diego, CA 92121-1733 | 2007-11-07 |
| 1629189857 | Danny Song | Chiropractor | 5348 Carroll Canyon Rd, Suite 101, San Diego, CA 92121-1733 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487919528 | Sherry Chang Kinnaird | Pain Medicine | 7525 Metropolitan Dr Ste 302, San Diego, CA 92108-4404 | 2012-07-04 |
| 1922264845 | Hussein Abdulhadi, Md | Pain Medicine | 6645 Alvarado Rd, Suite 253, San Diego, CA 92120-5208 | 2008-07-30 |
| 1245376029 | Robert E. Scott, Jr., Md, Inc | Pain Medicine | 5471 Kearny Villa Rd Ste 200, San Diego, CA 92123-1143 | 2007-01-29 |
| 1629004890 | Hussein Mohammad Abdulhadi | Pain Medicine | 6645 Alvarado Rd, Suite 253, San Diego, CA 92120-5208 | 2006-06-23 |
| 1326012931 | Eric T Stedje-larsen | Pain Medicine | 34800 Bob Wilson Dr, Naval Medical Center San Diego, San Diego, CA 92134-1098 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795836 | John Qian M.d. Inc. | Pain Medicine | 5360 Jackson Dr Ste 100, La Mesa, CA 91942-3012 | 2020-03-18 |
| 1831751403 | Abigail Howe | Pain Medicine | 2421 Park Blvd # B205, Palo Alto, CA 94306-1998 | 2019-07-03 |
| 1144781519 | Central Coast Functional Restoration Program Inc | Pain Medicine | 1260 41st Ave Ste D, Capitola, CA 95010-3929 | 2019-03-28 |
| 1497226419 | Birladeanu Medical Corp | Pain Medicine | 5255 Elkhorn Blvd Ste A, Sacramento, CA 95842-2506 | 2018-12-17 |
| 1033649413 | Latora Subani | Pain Medicine | 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 | 2017-06-18 |
| 1982061354 | Hilary J Fausett, M.d. A Medical Corporation | Pain Medicine | 39 Congress St Ste 303, Pasadena, CA 91105-3022 | 2016-01-15 |
| 1346616695 | Nuvation Pain Group | Pain Medicine | 5832 Beach Blvd Unit 208, Buena Park, CA 90621-5501 | 2015-08-20 |
| 1740674050 | Guardian Headache and Pain Management Institute LLC | Pain Medicine | 3747 Franklin Ave, Suite 200, Long Beach, CA 90808-1334 | 2015-03-25 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1659772606 | Sonny Rubin, M.d. Inc | Pain Medicine | 455 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-4241 | 2014-09-09 |
| 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.