Moon M Oh M D Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A107209 Issued in CA

Legal business name

MOON M OH M D INC

Doing business as

Irvine Professional Medical Group

Practice address

3500 Barranca Pkwy
330
Irvine, CA 92606-8226

Phone

(949) 552-8217

Fax

(949) 809-9514

NPI assigned

Sep 3, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Moon M Oh, MD

Title

Owner

Phone

(949) 552-8216

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Irvine Professional Medical Group Doing business as
• MOON M. OH MD, INC Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Irvine Professional Med GRP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Irvine Professional Medical Group, Inc

  • Non-Pharmacy Dispensing Site
  • Irvine, CA
  • NPI 1568702835
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Moonmock Oh, M.D.

  • Family Medicine Physician
  • Irvine, CA
  • NPI 1902838881
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1174756357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 BARRANCA PKWY STE 330",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068288",
            "telephone_number": "949-552-8217",
            "fax_number": "949-809-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BARRANCA PKWY",
            "address_2": "330",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068226",
            "telephone_number": "949-552-8217",
            "fax_number": "949-809-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON M OH M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "MOON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-552-8216",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A107209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A107209",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irvine Professional Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Irvine Professional Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MOON M. OH MD, INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ernalyn C Montgomery, MSN, FNP, PMHNP-BC
• Melany Montiel Lobos
• Ian Montoya, LCSW
• Renalani Moodley
• Steven Moody, LCSW
• Edward Moon
• Louis Moon, D.D.S.
• Michael S. Moon, MD
• Jacob Eric Mooradian
• Moore Spine Center and Chiropractic Services

• Family Medicine Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.