DAVID ROBERT MOON M.D. NPI 1073573093

NPI Information

NPI: 1073573093
Provider Name: DAVID ROBERT MOON, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
409 FULTON ST
PALO ALTO, CA
ZIP 94301
Phone: (952) 595-1100
Get Directions

David Robert Moon, M.D. is a diagnostic radiology radiology in Palo Alto, CA. 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.

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 8/3/2017.

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
1	2085R0202X	Radiology	Diagnostic Radiology	G69394	CALIFORNIA	Yes
2	2085R0202X	Radiology	Diagnostic Radiology	L3024	TEXAS	No
3	2085R0202X	Radiology	Diagnostic Radiology	11711	HAWAII	No

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: 11/14/2023

NPI Synchronization or Removal

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