Moon MD Incorporated

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A106616 Issued in CA

Legal business name

MOON MD INCORPORATED

Practice address

5959 Truxtun Ave
Bakersfield, CA 93309-0435

Phone

(661) 638-0601

Fax

(661) 638-0606

NPI assigned

Aug 2, 2017

Last updated

Aug 2, 2017By 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. Cyrus R Moon, MDNPI 1154585388

Title

Owner

Phone

(661) 638-0601

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Cyrus Moon, MD

  • Surgery Physician
  • Bakersfield, CA
  • NPI 1154585388
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1619491446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81198",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933801198",
            "telephone_number": "661-638-0601",
            "fax_number": "661-638-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090435",
            "telephone_number": "661-638-0601",
            "fax_number": "661-638-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON MD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-638-0601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A106616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graysy Elizabeth Monzon Corrales, PHARMD
• Marcial Monzon, LCSW
• Alexandra Moo
• Jonathan Moo
• Joshua Paul Moody
• Cyrus Moon, MD
• Danielle Marie Moon, OT
• Hanhey Moon, MD
• Jinhwa Moon
• Donna Mooney, LVN

• Surgery Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.