Eleanore Kim-Moon, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A72756 Issued in CA

Practice address

2222 Bancroft Way SPC 4300
University of California, Berkeley - Tang Center
Berkeley, CA 94720-2528

Phone

(510) 642-2000

Fax

(510) 642-3520

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sutter East Bay Medical Foundation

  • Clinical Medical Laboratory
  • Berkeley, CA
  • NPI 1831381623
  NPD (past)
• Sutter East Bay Medical Foundation

  • Family Medicine Physician
  • Orinda, CA
  • NPI 1871538769

  Obstetrics & Gynecology

  NPD (past)
• Allara Medical Group PA

  • Gynecology Physician
  • New York, NY
  • NPI 1700450558

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1225144835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 BANCROFT WAY SPC 4300",
            "address_2": "UNIVERSITY OF CALIFORNIA, BERKELEY - TANG CENTER",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947202528",
            "telephone_number": "510-642-2000",
            "fax_number": "510-642-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 BANCROFT WAY SPC 4300",
            "address_2": "UNIVERSITY OF CALIFORNIA, BERKELEY - TANG CENTER",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947202528",
            "telephone_number": "510-642-2000",
            "fax_number": "510-642-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM-MOON",
        "first_name": "ELEANORE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A72756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ameneh Khosrovani, DDS
• Dmitry Khvatsky, M.D.
• Nina Sahar Kiarash
• George Kich, PHD
• Robert K Kihanya
• Allegra Kim
• Anatasia Kim, PHD
• Andrew Kim, MD
• Angela Kim, M.S.
• Deborah Kim

• Obstetrics & Gynecology Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.