Active NPI
Charles Moon, M.D.
- Orthopaedic Surgery Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A63715
- Practice address
- 8700 Beverly Blvd.
Los Angeles, CA 90048-1865 - Phone
- (310) 423-9954
- Fax
- (310) 423-9470
- NPI assigned
- Dec 2, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A63715 | CA | Primary |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | A63715 | CA |
Addresses
Primary practice location
8700 Beverly Blvd.
Los Angeles, CA 90048-1865
Mailing address
PO Box 512717
Los Angeles, CA 90051-0717
Phone (310) 423-9954
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
- Orthopedic Surgery
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
444 S San Vicente Blvd
Los Angeles, CA 90048-4165
Phone (310) 423-5000
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-5000
Hospital & facility affiliations
- Alleviation Healthcare Services, Inc
- Cedars-Sinai Medical Center
- Mercy Hospital Southeast
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.23 of 100
- Quality
- 77.83
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.17
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 21 |
| Knee replacement | 14 |
| Removal of tissue | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A63715 | CA | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Cedars-Sinai Medical Center | Current | Accepting new patients | |
| Cedars-Sinai Medical Center | Current | Accepting new patients | |
| Good Samaritan Hospital Ca LTD PTP | Past | Accepting new patients | |
| Good Samaritan Hospital, L.P. | Past | Accepting new patients | |
| Pih Health Good Samaritan Hospital | Past | Accepting new patients |
Locations
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291
444 S San Vicente Blvd
Ste 603
West Hollywood, CA 90048
Phone (310) 423-1282
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- cmoon102130@direct.cshs.org
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Pharmacy
- Los Angeles, CA
- NPI 1376514810
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1205852209
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1376595777
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sherman Oaks, CA
- NPI 1013210707
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1811006661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407456000000",
"number": "1376527440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 512717",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900510717",
"telephone_number": "310-423-9954",
"fax_number": "310-423-9470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 BEVERLY BLVD.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900481865",
"telephone_number": "310-423-9954",
"fax_number": "310-423-9470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2014-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A63715",
"primary": true
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "CA",
"license": "A63715",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.