Individual provider Active NPI

Michael Moneyhon, MD

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1467712018
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A124490 Issued in CA
Practice address
4760 W Sunset Blvd FL 3
Los Angeles, CA 90027-6063
Phone
(859) 420-3672
NPI assigned
May 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X A124490 CA
Surgery Physician 208600000X A124490 CA Primary

Addresses

Primary practice location

4760 W Sunset Blvd FL 3
Los Angeles, CA 90027-6063

Mailing address

4760 W Sunset Blvd FL 3
Los Angeles, CA 90027-6063

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171116003140 CA Practitioner - General Surgery 6103182514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Newport Care Medical Group IncGroup PAC ID 6901033521, 20 clinicians

Practice addresses (Care Compare)

1041 E Yorba Linda Blvd
Suite 306
Placentia, CA 92870-3751
Phone (949) 491-9991

3560 Arlington Ave
Riverside, CA 92506-3936
Phone (949) 491-9991

3660 Park Sierra Dr
Suite 101
Riverside, CA 92505-3071
Phone (949) 491-9991

3711 Long Beach Blvd
Long Beach, CA 90807-3315
Phone (949) 491-9991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A124490CAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Care Medical Group, Inc Orthopaedic Surgery CurrentSince Nov 1, 2021 Accepting new patients
Newport Care Medical Group Inc CurrentSince Nov 1, 2021 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Chapman Medical Center Inc Past Accepting new patients
Dameron Hospital Association Past Accepting new patients

Locations

3711 Long Beach Blvd
Ste 101
Long Beach, CA 90807
Phone (310) 963-9727

3490 Linden Ave
Ste 2
Long Beach, CA 90807
Phone (888) 368-1850

4281 Katella Ave
Ste 222
Los Alamitos, CA 90720

1711 W Temple St
Ste 4675
Los Angeles, CA 90026
Phone (213) 483-6563

40700 California Oaks Rd
Ste 205
Murrieta, CA 92562
Phone (951) 304-3180

441 Old Newport Blvd
Ste 201
Newport Beach, CA 92663

441 Old Newport Blvd
Newport Beach, CA 92663
Phone (714) 309-9270

2617 E Chapman Ave
Ste 110
Orange, CA 92869
Phone (714) 633-0011

1041 E Yorba Linda Blvd
Ste 306
Placentia, CA 92870
Phone (714) 577-9500

3660 Park Sierra Dr
Ste 101
Riverside, CA 92505
Phone (877) 357-4777

4354 Latham St
Ste 100
Riverside, CA 92501
Phone (909) 787-1101

3560 Arlington Ave
Riverside, CA 92506
Phone (909) 680-1200

1386 W 7th St
Ste 306
San Pedro, CA 90732

28780 Single Oak Dr
Ste 270
Temecula, CA 92590
Phone (951) 600-1795

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1467712018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 W SUNSET BLVD FL 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 W SUNSET BLVD FL 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276063",
            "telephone_number": "859-420-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONEYHON",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-16",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A124490",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A124490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.