Active NPI
Daniel Leo Moon, M.D.
- Surgery Physician
- Arcadia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A101915
- Practice address
- 612 W Duarte Rd Ste 804
Arcadia, CA 91007-9250 - Phone
- (626) 600-2094
- Fax
- (626) 226-5827
- NPI assigned
- Jun 14, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A101915 | CA | Primary |
Addresses
Primary practice location
612 W Duarte Rd Ste 804
Arcadia, CA 91007-9250
Mailing address
612 W Duarte Rd Ste 804
Arcadia, CA 91007-9250
Phone (626) 600-2094
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
- General Surgery
- Education
- University of Texas Southwestern Medical School at Dallas, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
612 W Duarte Rd
Suite 804
Arcadia, CA 91007-9250
Phone (626) 600-2094
Hospital & facility affiliations
- Usc Arcadia Hospital
- Glendale Mem Hospital & HLTH Center
- Huntington Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 13 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A101915 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asok Doraiswamy MD Inc | Surgery | Current | Accepting new patients |
| Alhambra Hospital Medical Center, LP | Past | Accepting new patients | |
| Ahmc Garfield Medical Center LP | Past | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients |
Locations
612 W Duarte Rd
Ste 804
Arcadia, CA 91007
Phone (626) 247-1192
300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441
612 W Duarte Rd
Ste 801
Arcadia, CA 91007
Phone (626) 292-6899
1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
438 W Las Tunas Dr
San Gabriel, CA 91776
Phone (626) 289-5454
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Surgery Physician
- Arcadia, CA
- NPI 1306264387
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
-
- General Acute Care Hospital
- Alhambra, CA
- NPI 1811099674
-
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1477610640
-
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
-
- General Acute Care Hospital
- Arcadia, CA
- NPI 1508851288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1922268705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 W DUARTE RD STE 804",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910079250",
"telephone_number": "626-600-2094",
"fax_number": "626-226-5827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 W DUARTE RD STE 804",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910079250",
"telephone_number": "626-600-2094",
"fax_number": "626-226-5827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "DANIEL",
"middle_name": "LEO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-14",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A101915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.