Active NPI
Steve Moon, D.C.
- Physical Therapist
- San Pedro, CA
National Provider Identifier
1437378049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 304209
- Practice address
- 28000 S Western Ave Unit 427
San Pedro, CA 90732-1212 - Phone
- (424) 473-9360
- NPI assigned
- Apr 24, 2007
- Last updated
- Jun 14, 2023
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC28583 | CA | |
| Physical Therapist | 225100000X | 304209 | CA | Primary |
Addresses
Primary practice location
28000 S Western Ave Unit 427
San Pedro, CA 90732-1212
Mailing address
4482 Barranca Pkwy
Suite #244
Irvine, CA 92604-7701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Chiropractic Group | Chiropractor | Current | Accepting new patients |
| Wellness Chiropractic Group Inc | Chiropractor | Current | Accepting new patients |
| Moon Chiropractic Group, Inc | Past | Accepting new patients | |
| J Bae Chiropractic, Inc | Chiropractor | Past | Accepting new patients |
Locations
4482 Barranca Pkwy
Ste 190
Irvine, CA 92604
Phone (949) 552-7002
4902 Irvine Center Dr
Ste 107
Irvine, CA 92604
Phone (949) 536-5110
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Irvine, CA
- NPI 1699954511
-
- Chiropractor
- Irvine, CA
- NPI 1093034969
-
- Chiropractor
- Los Angeles, CA
- NPI 1871889592
-
- Rehabilitation Chiropractor
- Los Angeles, CA
- NPI 1952667065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1437378049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4482 BARRANCA PKWY",
"address_2": "SUITE #244",
"city": "IRVINE",
"state": "CA",
"postal_code": "926047701",
"fax_number": "949-552-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28000 S WESTERN AVE UNIT 427",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907321212",
"telephone_number": "424-473-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "STEVE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28583",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "304209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.