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MITHRA MOON PA
NPI 1023587839
Physician Assistant in Hollywood, CA

Active since November 21, 2018PECOS EnrolledAccepts Medicare Assignment
1600 VINE ST APT 543, HOLLYWOOD, CA 90028(240) 778-8493 Get Directions Write a Review

NPPES record last updated: January 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2020, Nov 21, 2018 (2 updates tracked since 2018).

About Mithra Moon Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITHRA MOON PA (NPI 1023587839) is an individual physician assistant in Hollywood, California, licensed in California (56157) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1023587839
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMITHRA MOONCredential: PA
Location Address1600 VINE ST APT 543Hollywood, CA 90028-8825
Mailing Address1600 Vine St Apt 543Hollywood, CA 90028-8825 · (240) 778-8493
Phone(240) 778-8493
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 21, 2018
Last NPPES UpdateJanuary 20, 20202 updates tracked since enumeration
✔ NPI 1023587839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 56157
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1600 VINE ST APT 543, Hollywood, CA 90028
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Other Names 1

Former Name (1)Maria Govind Pa

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mithra Moon Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092043505
PECOS Enrollment IDI20190821004706
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mithra Moon's NPI number?

The NPI number for Mithra Moon is 1023587839. It was assigned to this individual provider in the NPPES registry on November 21, 2018. The provider is also known as Maria Govind PA.

Where is Mithra Moon located?

Mithra Moon practices at 1600 Vine St Apt 543, Hollywood, CA 90028. The listed phone number is (240) 778-8493.

What is Mithra Moon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mithra Moon enrolled in Medicare?

Yes. Mithra Moon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mithra Moon was last updated on January 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.