Jong C Moon MD Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

A356070 Issued in CA

Legal business name

JONG C MOON MD INC

Practice address

406 James St
Shafter, CA 93263-2035

Phone

(661) 746-5788

Fax

(661) 746-5273

NPI assigned

Apr 19, 2007

Last updated

Jun 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jong Chun Moon, M.D.NPI 1760545925

Title

Administrator

Phone

(661) 746-5788

Specialties & licenses 1

Addresses

Other names 1

• SHAFTER RURAL HEALTH CARE Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jong Chun Moon, M.D.

  • General Practice Physician
  • Shafter, CA
  • NPI 1760545925
  Authorized official Same address or phone

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1457578403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 JAMES ST",
            "city": "SHAFTER",
            "state": "CA",
            "postal_code": "932632035",
            "telephone_number": "661-746-5788",
            "fax_number": "661-746-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 JAMES ST",
            "city": "SHAFTER",
            "state": "CA",
            "postal_code": "932632035",
            "telephone_number": "661-746-5788",
            "fax_number": "661-746-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONG C MOON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "JONG",
        "authorized_official_middle_name": "CHUN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-746-5788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": "A356070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAFTER RURAL HEALTH CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Iskander Hussein
• Jae J. Kim, M.D. (Shafter Rural Health Care Clinic)
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• Joel N Cooper Physical Therapist Inc.
• Rowena S Jones, PHARMD
• Kern Radiology Medical Group, Inc
• Uzma Khan
• Jae Joon Kim, MD
• Michael L. Komin, M.D.
• Anthony Minh Le

• Rural Health Clinic/Center in Shafter, CA
• Providers in Shafter, CA by specialty
• Rural Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.