Individual provider Active NPI

Jon M. Moness, MD

  • Family Medicine Physician
  • El Dorado Hills, CA
National Provider Identifier
1326126004
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A53163 Issued in CA
Practice address
3860 El Dorado Hills Blvd
Suit # 601
El Dorado Hills, CA 95762-4563
Phone
(916) 678-5292
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A53163 CA Primary

Addresses

Primary practice location

3860 El Dorado Hills Blvd
Suit # 601
El Dorado Hills, CA 95762-4563

Mailing address

3860 El Dorado Hills Blvd
Suit # 601
El Dorado Hills, CA 95762-4563
Phone (916) 941-9222

Other practice location 1

851 Pleasant Grove Blvd Ste 110
Roseville, CA 95678-6176
Phone (916) 773-9222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090224000556 CA Practitioner - Internal Medicine 8022173178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3860 El Dorado Hills Blvd
Suite 601
El Dorado Hills, CA 95762-4563
Phone (916) 941-9222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A53163CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Physicians Medical Group - PPO Program PastSince Jul 31, 2008 Accepting new patients
Mdstat Urgent Care, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jmoness55492@hpmg.direct-ci.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1326126004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 EL DORADO HILLS BLVD",
            "address_2": "SUIT # 601",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624563",
            "telephone_number": "916-941-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 EL DORADO HILLS BLVD",
            "address_2": "SUIT # 601",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624563",
            "telephone_number": "916-678-5292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Pleasant Grove Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956786176",
            "country_code": "US",
            "telephone_number": "916-773-9222",
            "fax_number": "916-773-0922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONESS",
        "first_name": "JON",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A53163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

Verify at the official NPI Registry.