Individual provider Active NPI

Joann C Blessing-Moore, M.D.

  • Allergy & Immunology Physician
  • Palo Alto, CA
National Provider Identifier
1992812358
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
G26617 Issued in CA
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

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091105000213 CA Practitioner - Allergy/ImmunologyPractitioner - Pulmonary Disease 9133267578

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26617CAMDChiropractor
G-26617CAMDPediatric 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

Verify at the official NPI Registry.