Active NPI
Jon M. Moness, MD
- Family Medicine Physician
- El Dorado Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A53163
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 29 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A53163 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill Physicians Medical Group - PPO Program | Past | Accepting new patients | |
| Mdstat Urgent Care, Inc | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Urgent Care Clinic/Center
- Sacramento, CA
- NPI 1922273390
-
- Urgent Care Clinic/Center
- Roseville, CA
- NPI 1407229107
-
- Preferred Provider Organization
- San Ramon, CA
- NPI 1679011035
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Placerville, CA
- NPI 1972503142
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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; Order and Referring.
- 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.