Active NPI
Hanhey Moon, MD
- General Practice Physician
- Bakersfield, CA
National Provider Identifier
1477598910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A61306
- Practice address
- 1491 White Lane
Bakersfield, CA 93307 - Phone
- (661) 835-2600
- Fax
- (661) 835-2603
- NPI assigned
- Jun 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A61306 | CA | Primary |
Addresses
Primary practice location
1491 White Lane
Bakersfield, CA 93307
Mailing address
1491 White Lane
Bakersfield, CA 93307
Phone (661) 835-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A613060 | Medicaid | CA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61306 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M.a. Medical Group, Inc | Current | Accepting new patients | |
| Maria Auxiliadora Medical Group | General Practice | Past | Accepting new patients |
Locations
1900 S Atlantic Blvd
Ste 5
Monterey Park, CA 91754
Phone (323) 728-2885
9401 Long Beach Blvd
South Gate, CA 90280
Phone (323) 567-9782
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.
-
- Family Medicine Physician
- Monterey Park, CA
- NPI 1578790234
-
- General Practice Physician
- South Gate, CA
- NPI 1104931112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1477598910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1491 WHITE LANE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93307",
"telephone_number": "661-835-2600",
"fax_number": "661-835-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1491 WHITE LANE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93307",
"telephone_number": "661-835-2600",
"fax_number": "661-835-2603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "HANHEY",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-18",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A61306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A613060",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.