Active NPI
Johnson Lee Moon, M.D.
- Neurology Physician
- Fullerton, CA
National Provider Identifier
1457407579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A86444
- Practice address
- 381 E Imperial Highway
Fullerton, CA 92835 - Phone
- (714) 879-7200
- Fax
- (714) 879-3010
- NPI assigned
- Jan 25, 2007
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A86444 | CA | Primary |
| Clinical Neurophysiology Physician | 2084N0600X | A86444 | CA |
Addresses
Primary practice location
381 E Imperial Highway
Fullerton, CA 92835
Mailing address
381 E Imperial Highway
Fullerton, CA 92835
Phone (714) 879-7200
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
- Neurology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
381 Imperial Hwy
Fullerton, CA 92835-1040
Phone (714) 879-7200
Hospital & facility affiliations
- Providence St. Jude Medical Center
- Uci Health-Orange
- Providence St. Joseph Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.6 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 71.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A86444 | CA | MD | Clinical Neurophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Center of North Orange County, a Medical Corp. | Neurology | Current | Accepting new patients |
| St Jude Hospital Inc | Past | Accepting new patients |
Locations
381 Imperial Hwy
Fullerton, CA 92835
Phone (714) 879-7200
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- johnsonmoon@nncoc.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Neurology Physician
- Fullerton, CA
- NPI 1629141478
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- General Acute Care Hospital
- Brea, CA
- NPI 1891904942
-
- General Acute Care Hospital
- Orange, CA
- NPI 1558575746
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310083200000",
"number": "1457407579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "381 E IMPERIAL HIGHWAY",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92835",
"telephone_number": "714-879-7200",
"fax_number": "714-879-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 E IMPERIAL HIGHWAY",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92835",
"telephone_number": "714-879-7200",
"fax_number": "714-879-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "JOHNSON",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2011-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A86444",
"primary": true
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "CA",
"license": "A86444",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.