SANDRA MOON (NPI# 1689059016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689059016 |
Entity Type | Individual |
Full Name | SANDRA MOON |
Practice Address |
3810 Wilshire Blvd Apt 2211 #2211 Los Angeles CA 90010-3230 |
Practice Telephone | 3107297785 |
Enumeration Date | 2015-07-27 |
Last Update Date | 2015-07-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95001140 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649893322 | Sandra Moon | Licensed Practical Nurse | 2296 Torch Lake Dr, Forney, TX 75126-0877 | 2020-05-28 |
1063763365 | Sandra Moon | Nurse Anesthetist, Certified Registered | 1 Gustave L Levy Pl, Anesthesiology - Box 1010, New York, NY 10029-6500 | 2012-09-26 |
1093883860 | Sandra Moon | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-12-01 |
Street Address |
3810 WILSHIRE BLVD APT 2211 #2211 |
City | LOS ANGELES |
State | CA |
Zip Code | 90010-3230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205454204 | Sage Minds | Psychiatry & Neurology | 3860 Wilshire Blvd, P04-1188, Los Angeles, CA 90010 | 2020-07-07 |
1629602750 | Shalva, A Psychology Corporation | Counselor | 4221 Wilshire Boulevlard, Suite 170b, Los Angeles, CA 90010 | 2020-02-27 |
1609346287 | Leticia Arteaga | Marriage & Family Therapist | 3580 Wilshire Blvd Suite 800, Los Angeles, CA 90010 | 2018-11-27 |
1891265559 | Maria Nguyen | Case Manager/Care Coordinator | 3424 Wilshire Blvd Ste 1000, Los Angeles, CA 90010 | 2018-11-26 |
1568955474 | Cherie Emi Okada | Student in an Organized Health Care Education/Training Program | 358 Wilshire Blvd, Suite 2000, Los Angeles, CA 90010 | 2018-06-14 |
1780101832 | Bj Park, Chiropractic | Acupuncturist | 3020 Wilshire Blvd., Suite 220, Los Angeles, CA 90010 | 2017-08-29 |
1952828188 | Karin Alm | Case Manager/Care Coordinator | 3580 Wilshire Blvd., Suite 2000, Los Angeles, CA 90010 | 2017-08-28 |
1295257111 | Freddy Pablo | Rehabilitation Practitioner | 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 | 2017-07-12 |
1770032690 | Astghik Harutyunyan | Special Hospital | 3699 Wilshire Blve, Los Angeles, CA 90010 | 2016-10-04 |
1629446281 | Praveena Chinniah | Behavioral Analyst | 4221 Wilshire Blvd., Suite 300a, Los Angeles, CA 90010 | 2015-09-11 |
Find all providers in zip 90010 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083260087 | Liezl Ann Bobila Bautista | Nurse Practitioner | 3317 Bagley Ave Apt 6, Los Angeles, CA 90034-2866 | 2019-08-15 |
1780155085 | Amy Parker | Nurse Practitioner | 1160 N Westmoreland Ave, Los Angeles, CA 90029-1909 | 2018-12-12 |
1285100172 | Kellie Ann Loera | Nurse Practitioner | 4650 W Sunset Blvd # Ms, Los Angeles, CA 90027-6062 | 2018-10-17 |
1629553649 | Jamie Duly | Nurse Practitioner | 4650 W Sunset Blvd # 66, Los Angeles, CA 90027-6062 | 2018-09-25 |
1942788047 | Annie Lee Thomson | Nurse Practitioner | 757 Westwood Plz Rm 5411, Los Angeles, CA 90095-8358 | 2018-07-31 |
1205347739 | Carrie Locken Collins | Nurse Practitioner | 4650 W Sunset Blvd # 170, Los Angeles, CA 90027-6062 | 2017-10-24 |
1053821553 | Kimberly Brooke Adams | Nurse Practitioner | 3131 Bagley Ave Apt 7, Los Angeles, CA 90034-2931 | 2017-10-10 |
1013360213 | Kelly Barth | Nurse Practitioner | 1880 Century Park E, Suite 425, Los Angeles, CA 90067-1600 | 2016-07-22 |
1003261272 | Laura Elvira Espinosa | Nurse Practitioner | 2831 Vaquero Ave, Los Angeles, CA 90032-3008 | 2016-04-25 |
1376899328 | Monica M. Garty | Nurse Practitioner | 5550 Grosvenor Blvd Apt 216, Los Angeles, CA 90066-7310 | 2012-07-27 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90010 |
Please comment or provide details below to improve the information on SANDRA MOON.
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.