Active NPI
Joann C Blessing-Moore, M.D.
- Allergy & Immunology Physician
- Palo Alto, CA
National Provider Identifier
1992812358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- G26617
- Practice address
- 723 Emerson St
Palo Alto, CA 94301-2411 - Phone
- (650) 688-8480
- Fax
- (650) 688-8483
- NPI assigned
- Aug 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | G26617 | CA | Primary |
| Pediatric Pulmonology Physician | 2080P0214X | G-26617 | CA |
Addresses
Primary practice location
723 Emerson St
Palo Alto, CA 94301-2411
Mailing address
5 Quail Meadow Dr
Woodside, CA 94062-2499
Phone (650) 688-8480
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091105000213 | CA | Practitioner - Allergy/Immunology | 9133267578 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26617 | CA | MD | Chiropractor |
| G-26617 | CA | MD | Pediatric Pulmonology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1992812358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 QUAIL MEADOW DR",
"city": "WOODSIDE",
"state": "CA",
"postal_code": "940622499",
"telephone_number": "650-688-8480",
"fax_number": "650-688-8483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 EMERSON ST",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943012411",
"telephone_number": "650-688-8480",
"fax_number": "650-688-8483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLESSING-MOORE",
"first_name": "JOANN",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "G26617",
"primary": true
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "CA",
"license": "G-26617",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.