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DR. MICHAEL MOON M.D. NPI 1619014230


NPI Information

NPI: 1619014230
Provider Name: DR. MICHAEL MOON, M.D.
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

PECOS Registration: Yes

CLIA Number: 05D2090549

Address:
5348 CARROLL CANYON RD
SUITE 101
SAN DIEGO, CA
ZIP 92121
Phone: (858) 202-1546
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DR. Michael Moon, M.D. is an interventional pain medicine pain medicine in San Diego, CA with 29 years of experience. The provider is 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. DR. Michael Moon, M.D. NPI is 1619014230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

5348 CARROLL CANYON RD
SUITE 101
SAN DIEGO, CA
ZIP 92121-733
Phone: (858) 202-1546
Fax: (858) 202-1548

The NPI 1619014230 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D2090549 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
  • Evaluation of physical therapy, typically 30 minutes (HCPCS:97162)
  • Injection of substance into spinal canal of lower back or sacrum using imaging guidance (HCPCS:62323)

The enumeration date for this NPI number is 1/31/2007 and was last updated on 9/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineA61865CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A61865OTHERCALIFORNIALICENSE NUMBER
2P00302519OTHERCALIFORNIARAIL ROAD MEDICARE
3GR0096070MEDICAIDCALIFORNIA
4330992123OTHERCALIFORNIABLUE CROSS
5ZZZ07215ZOTHERCALIFORNIABLUE SHIELD
6WA61865AMEDICARE PINCALIFORNIA
7127169100OTHERCALIFORNIAACS-US DEPT OF LABOR
8H16826MEDICARE UPINCALIFORNIA
9330992123OTHERCALIFORNIATIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.