DAVID ROBERT MOON M.D. NPI 1073573093

NPI Information

  • NPI: 1073573093
  • Provider Name: DAVID ROBERT MOON, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 409 FULTON ST
    PALO ALTO, CA
    ZIP 94301
  • Phone: (952) 595-1100

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NPI Details

David Robert Moon, M.D. is a diagnostic radiology radiology in Palo Alto, CA with 36 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. David Robert Moon, M.D. NPI is 1073573093. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduation Year:1989

The provider's business location address is:

409 FULTON ST
PALO ALTO, CA
ZIP 94301-326
Phone: (952) 595-1100
Fax: (612) 294-4903

The NPI 1073573093 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 enumeration date for this NPI number is 3/24/2006 and was last updated on 9/12/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyL3024TEXASNo
22085R0202XRadiologyDiagnostic Radiology11711HAWAIINo
32085R0202XRadiologyDiagnostic RadiologyMD11711HAWAIINo
42085R0202XRadiologyDiagnostic RadiologyG69394CALIFORNIAYes

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: 3/30/2025

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